Georgia Lee Gardner RN

NPI 1053489914 - Registered Nurse - 163W00000X

NPI Details
NPI 1053489914
Gender Female
Enumeration Date 11/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
PUEBLO CO, 81004, US
Phone (719) 543-8711
Fax (719) 543-5340
Business Location
PUEBLO CO, 81004, US
Phone (719) 543-8718
Fax (719) 543-5340
Taxonomy Code 163W00000X
License State Colorado
License Number 49282
Remove 1053489914 NPI Number

According to our database, Georgia Lee Gardner RN NPI is 1053489914, taxonomy code is 163W00000X and license number is 49282, license state is located at Colorado. Georgia Lee Gardner RN physically located at 110 E Routt, Pueblo CO, 81004. NPI Number Georgia Lee Gardner RN has the Individual type.

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1053489914 NPI number is provided on an as is basis without warranty of any kind. 1053489914 is maintained by the National Plan & Provider Enumeration System. The contents of Georgia Lee Gardner RN are for informational purposes only.