Gardner, Polly Elizabeth

Gardner, Polly Elizabeth is an individual health care provider with primary practice located at 1414 116Th Ave Ne Suite E, Bellevue WA 98004-3801. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gardner, Polly Elizabeth can be contacted via phone (206) 215-4545.

Contact Information

Primary practice address
1414 116Th Ave Ne Suite E Bellevue WA 98004-3801
Phone: (206) 215-4545
Fax: (206) 215-4550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP30003450 Washington

Profile Details

NPI number 1992759617
LBN Legal business name Gardner, Polly Elizabeth
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 5th, 2008 - about 17 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 1992759617 NPPES
Washington Other 0211297 L & I
Washington MEDICAID 9650797 L & I

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