NPI 1104100486

Andrea Simone Gardner

Practitioner Adult Companion Montgomery Village, MD

Practice location

Address: 18447 Lost Knife Cir APT 304, Montgomery Village, MD 20886-0408
Phone: (240) 449-6935

Registered specialties (3)

Adult Companion Primary

Nursing Service Related Providers Taxonomy 372600000X

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Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X

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Nurse's Aide

Nursing Service Related Providers Taxonomy 376K00000X

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Registry record

NPI: 1104100486
Entity type: Individual
Sex (as registered): Female
NPI issued: 4 Oct 2011
Record last updated: 4 Oct 2011

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.