Amy D Gardner, FNP-C is a
Nurse Practitioner - Family based in Crane, Missouri. Amy D Gardner is licensed to practice in Missouri (license number 134830) and her current practice location is
102 Courtney Lane, Crane, Missouri. She can be reached at her office (for appointments etc.) via phone at
(417) 269-2264.
NPI number for Amy D Gardner is 1639248131 and her current mailing address is 3800 S. National Ave, #540, Springfield, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639248131.
Provider's Profile
| Full Name | Amy D Gardner |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 102 Courtney Lane, Crane, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1639248131
- Provider Enumeration Date: 11/07/2006
- Last Update Date: 12/04/2012
Medical Identifiers
Medical identifiers for Amy D Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1639248131 | NPI | - | NPPES |
| 425928405 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 134830 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy D Gardner is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Amy D Gardner, FNP-C
3800 S. National Ave, #540,
Springfield, MO 65807-5284
Ph: (417) 269-2264 | Amy D Gardner, FNP-C
102 Courtney Lane,
Crane, MO 65633-9192
Ph: (417) 269-2264 |
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