Gardner, Andrea Beth

Gardner, Andrea Beth is an individual health care provider with primary practice located at 3500 Potomac Way Ste 100 , Idaho Falls ID 83404-4977. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Gardner, Andrea Beth can be contacted via phone (208) 522-7666.

Contact Information

Primary practice address
3500 Potomac Way Ste 100 Idaho Falls ID 83404-4977
Phone: (208) 522-7666
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10197766-1206 Utah
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-1622 Idaho

Profile Details

NPI number 1669917456
LBN Legal business name Gardner, Andrea Beth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2017
Last updated Sep 22nd, 2022 - about 4 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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