Gardner, Elizabeth
Gardner, Elizabeth is an individual health care provider with primary practice located at 601 N Industrial Blvd , Bedford TX 76021-5234. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Gardner, Elizabeth can be contacted via phone (817) 283-0161.Contact Information
Primary practice address
601 N Industrial Blvd
Bedford TX 76021-5234
Phone: (817) 283-0161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | AP106039 | Texas |
Profile Details
| NPI number | 1295734333 |
|---|---|
| LBN Legal business name | Gardner, Elizabeth |
| Credentials | APRN, DNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jan 28th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295734333 | NPPES |
| Texas | MEDICAID | 060559402 | |
| Texas | MEDICAID | 060559403 | |
| Texas | MEDICAID | 060559404 | |
| Texas | Other | 8N4809 |
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