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Andrea Gardener
NPI 1619695392 · on the registry since 2022 · sole proprietor
Practice
- Address
- 216 W Midland Ave
Woodland Park, CO 80863 - Phone
- (719) 687-2599
- Organisation at this address
- Thunder Mountain Holdings, Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado