Gardner, Stephanie Maria

Gardner, Stephanie Maria is an individual health care provider with primary practice located at 1215 E Court St , Seguin TX 78155-5129. 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, Stephanie Maria can be contacted via phone (830) 379-5867.

Contact Information

Primary practice address
1215 E Court St Seguin TX 78155-5129
Phone: (830) 379-5867
Fax: (830) 401-4035
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 639859 Texas

Profile Details

NPI number 1841276797
LBN Legal business name Gardner, Stephanie Maria
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2005
Last updated Aug 24th, 2012 - 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 1841276797 NPPES
Texas MEDICAID 191656104

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