Ms Kathi Sue Gardner, FNP-C | |
2333w March Ln A1, Stockton, CA 95207-5263 | |
(209) 475-8144 | |
(209) 474-7679 |
Full Name | Ms Kathi Sue Gardner |
---|---|
Gender | Female |
Speciality | Registered Nurse - General Practice |
Location | 2333w March Ln A1, Stockton, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689017972 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
163WG0000X | Registered Nurse - General Practice | 21599 (California) | Primary |
Entity Name | Lodi Memorial Hospital Association Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861649352 PECOS PAC ID: 7618880717 Enrollment ID: O20050517000577 |
Mailing Address | Practice Location Address |
---|---|
Ms Kathi Sue Gardner, FNP-C 2333w March Ln A1, Stockton, CA 95207-5263 Ph: (209) 475-8144 | Ms Kathi Sue Gardner, FNP-C 2333w March Ln A1, Stockton, CA 95207-5263 Ph: (209) 475-8144 |
Ms. Delia Ordaz, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-3760 Fax: 209-468-3779 | |
Aurora Kay Pettett, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 4555 Precissi Ln, Stockton, CA 95207 Phone: 209-477-4103 Fax: 209-477-1065 | |
Arunny Hin-serapheap, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8663 | |
Mr. David Allan Rutter, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1588 E March Ln, Stockton, CA 95210 Phone: 207-474-7881 Fax: 913-814-4525 | |
Mrs. Ruby Ann Aurea Cubangbang, NP Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2429 Rajkovich Way, Stockton, CA 95212 Phone: 209-598-3125 | |
Ms. Debra L. Grinstead, R. N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8843 | |
Katherine Hedrick, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1212 N California St, Stockton, CA 95202 Phone: 209-468-8842 |