Gardner, Pamela M

Gardner, Pamela M is an individual health care provider with primary practice located at 18697 Bagley Rd , Cleveland OH 44130-3497. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Neonatal, which is considered as her primary health care specialty. Gardner, Pamela M can be contacted via phone (440) 816-6751.

Contact Information

Primary practice address
18697 Bagley Rd Cleveland OH 44130-3497
Phone: (440) 816-6751
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Neonatal 363LN0000X APRN.CNP.01529 Ohio

Profile Details

NPI number 1174571350
LBN Legal business name Gardner, Pamela M
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Apr 17th, 2024 - about 5 months 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 1174571350 NPPES
Ohio MEDICAID 2355508

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