Gardner, Nichole Marie

Gardner, Nichole Marie is an individual health care provider with primary practice located at 3012 S Durango Dr Ste 1 Diagnostic Center Of Medicine, Las Vegas NV 89117. She recently has only one registered license in Other Service Providers / Naturopath, which is considered as her primary health care specialty. Gardner, Nichole Marie can be contacted via phone (702) 366-0640.

Contact Information

Primary practice address
3012 S Durango Dr Ste 1 Diagnostic Center Of Medicine Las Vegas NV 89117
Phone: (702) 366-0640
Fax: (702) 366-9075
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X NT00001585 Washington

Profile Details

NPI number 1780862755
LBN Legal business name Gardner, Nichole Marie
Credentials ND
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2008
Last updated Feb 1st, 2008 - about 18 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 1780862755 NPPES
Washington Other NT00001585 STATE LICENSE

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