NPI 1003104993

Gary John Gardner, NP

Practitioner Women's Health Nurse Practitioner Saint Louis, MO

Practice location

Address: 4251 Forest Park Ave, Saint Louis, MO 63108-2810
Phone: (618) 363-9545
Mailing address: 26 N Pennsylvania Ave, Belleville, IL 62220-3952

Registered specialties

Women's Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LW0102X Licence 209005922 (IL)

Other Nurse Practitioner providers in Missouri →

Registry record

NPI: 1003104993
Entity type: Individual
Sex (as registered): Male
NPI issued: 13 Jul 2011
Record last updated: 21 Aug 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.