Gardner, Erica Leigh
Gardner, Erica Leigh is an individual health care provider with primary practice located at 1025 Verdae Blvd Ste A , Greenville SC 29607-4032. 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, Erica Leigh can be contacted via phone (864) 242-4683.Contact Information
Primary practice address
1025 Verdae Blvd Ste A
Greenville SC 29607-4032
Phone: (864) 242-4683
Fax: (864) 240-8104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 20796 | South Carolina |
Profile Details
| NPI number | 1104356054 |
|---|---|
| LBN Legal business name | Gardner, Erica Leigh |
| Credentials | FNP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2017 |
| Last updated | Mar 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104356054 | NPPES |
| South Carolina | MEDICAID | NP4582 |
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