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Andrea Gardner, PA-C
NPI 1669917456 · on the registry since 2017
Practice
- Address
- 3500 Potomac Way Ste 100
Idaho Falls, ID 83404 - Phone
- (208) 522-7666
- Organisation at this address
- Machen Family Dentistry Pc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 5
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Also registered as
- Physician Assistant
- Licence states on file
- UT, ID
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-22
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 Idaho