| Mandie Rose Gardner, ARNP | |
|
7146 Country Village Dr Sw, Tumwater, WA 98512-7062 | |
| (219) 384-7104 | |
| Not Available |
| Full Name | Mandie Rose Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 7146 Country Village Dr Sw, Tumwater, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205407376 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | AP61185174 (Washington) | Primary |
| Entity Name | Multicare Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497766638 PECOS PAC ID: 7719899897 Enrollment ID: O20031105000760 |
| Entity Name | Simply Thrive Psychotherapy Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528472370 PECOS PAC ID: 3072730175 Enrollment ID: O20140813002939 |
| Entity Name | Yellow Brick Clinic Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932687704 PECOS PAC ID: 3173944881 Enrollment ID: O20200605000283 |
| Mailing Address | Practice Location Address |
|---|---|
| Mandie Rose Gardner, ARNP 7146 Country Village Dr Sw, Tumwater, WA 98512-7062 Ph: (219) 384-7104 | Mandie Rose Gardner, ARNP 7146 Country Village Dr Sw, Tumwater, WA 98512-7062 Ph: (219) 384-7104 |
Mr. Christopher Thomas Ramos, MS, PMHMP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2011 Mottman Rd Sw Bldg 34-216, Tumwater, WA 98512 Phone: 360-358-2853 | |
Louise Kaplan, PHD, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw Ste A, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 | |
Diana Wilcox, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 344 Cleveland Ave Se Ste H, Tumwater, WA 98501 Phone: 360-561-9906 | |
Jennifer Lynn Venable, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6334 Littlerock Rd Sw Bldg 6, Tumwater, WA 98512 Phone: 360-704-7590 Fax: 360-704-7591 | |
Dr. Jessica Bruce Ahern, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 | |
Kimberly Ireland, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Dennis St Sw, Tumwater, WA 98501 Phone: 360-754-6367 Fax: 360-754-6429 |