Gardner, Mindi
Gardner, Mindi is an individual health care provider with primary practice located at 4600 Montgomery Rd Ste 105, Cincinnati OH 45212-2697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Gardner, Mindi can be contacted via phone (513) 487-5305.Contact Information
Primary practice address
4600 Montgomery Rd Ste 105
Cincinnati OH 45212-2697
Phone: (513) 487-5305
Fax: (513) 487-5317
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 07302-NP | Ohio |
Profile Details
| NPI number | 1700861234 |
|---|---|
| LBN Legal business name | Gardner, Mindi |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 7th, 2005 |
| Last updated | Aug 2nd, 2011 - about 15 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 | 1700861234 | NPPES |
| Other | 000000361570 | ANTHEM BLUE SHIELD | |
| MEDICAID | 200442150 | ANTHEM BLUE SHIELD | |
| MEDICAID | 2412008 | ANTHEM BLUE SHIELD | |
| Other | 7707682 | ANTHEM BLUE SHIELD | |
| MEDICAID | 78010089 | ANTHEM BLUE SHIELD |
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