Gardner, Mary Theresa

Gardner, Mary Theresa is an individual health care provider with primary practice located at 400 Wabash Ave , Akron OH 44307-2433. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Gardner, Mary Theresa can be contacted via phone (330) 344-6000.

Contact Information

Primary practice address
400 Wabash Ave Akron OH 44307-2433
Phone: (330) 344-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN 230117 Ohio

Profile Details

NPI number 1619973161
LBN Legal business name Gardner, Mary Theresa
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated May 24th, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619973161 NPPES
Ohio Other 430028804 TRAVELERS PIN
Ohio MEDICAID 0172147 TRAVELERS PIN
Ohio Other 000000023852 TRAVELERS PIN

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