Gardner, Cheryl M

Gardner, Cheryl M is an individual health care provider with primary practice located at 3300 Dairy Rd , Titusville FL 32796-1512. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gardner, Cheryl M can be contacted via phone (321) 267-6687.

Contact Information

Primary practice address
3300 Dairy Rd Titusville FL 32796-1512
Phone: (321) 267-6687
Fax: (321) 747-0407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X ARNP3409302 Florida
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X ARNP3409302 Florida

Profile Details

NPI number 1467586388
LBN Legal business name Gardner, Cheryl M
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Jun 9th, 2015 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1467586388 NPPES
Florida MEDICAID 004473700

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