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Search › Idaho › 363A00000X

Laurel Gardner, PA-C

NPI 1700516978 · on the registry since 2022

Practice

Address
85 S Middleton Rd
Nampa, ID 83651
Phone
(208) 505-2800
Fax
(208) 505-2801
Organisation at this address
St Lukes Regional Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
11

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
246QM0706X
363A00000X
390200000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-04-05

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