Gardner, Tamara Joy
Gardner, Tamara Joy is an individual health care provider with primary practice located at 4701 Montgomery Blvd Ne , Albuquerque NM 87109-1219. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gardner, Tamara Joy can be contacted via phone (505) 727-6853.Contact Information
Primary practice address
4701 Montgomery Blvd Ne
Albuquerque NM 87109-1219
Phone: (505) 727-6853
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 627 | New Mexico |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 64907 | New Mexico |
Profile Details
NPI number | 1386924744 |
---|---|
LBN Legal business name | Gardner, Tamara Joy |
Credentials | CNP, CNM |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2011 |
Last updated | Mar 4th, 2024 - about last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1386924744 | NPPES |
New Mexico | MEDICAID | 1386924744 |
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