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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295734333 NPPES
Texas MEDICAID 060559402
Texas MEDICAID 060559403
Texas MEDICAID 060559404
Texas Other 8N4809

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