Gardner, Shalesse

Gardner, Shalesse is an sole proprietor health care provider with primary practice located at 390 N Pacific Coast Hwy Ste 2060 , El Segundo CA 90245-4401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Gardner, Shalesse can be contacted via phone (855) 501-1004.

Contact Information

Primary practice address
390 N Pacific Coast Hwy Ste 2060 El Segundo CA 90245-4401
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 95015664 California

Profile Details

NPI number 1750045712
LBN Legal business name Gardner, Shalesse
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 26th, 2021
Last updated Oct 2nd, 2026 - about last week

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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