Gardner, Mindi

Gardner, Mindi is an individual health care provider with primary practice located at 4600 Montgomery Rd Ste 105, Cincinnati OH 45212-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gardner, Mindi can be contacted via phone (513) 487-5305.

Contact Information

Primary practice address
4600 Montgomery Rd Ste 105 Cincinnati OH 45212-2697
Phone: (513) 487-5305
Fax: (513) 487-5317
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 07302-NP Ohio

Profile Details

NPI number 1700861234
LBN Legal business name Gardner, Mindi
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2005
Last updated Aug 2nd, 2011 - about 13 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 1700861234 NPPES
Other 000000361570 ANTHEM BLUE SHIELD
MEDICAID 200442150 ANTHEM BLUE SHIELD
MEDICAID 2412008 ANTHEM BLUE SHIELD
Other 7707682 ANTHEM BLUE SHIELD
MEDICAID 78010089 ANTHEM BLUE SHIELD

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