Phyllis Gardner, MA is a
Counselor - Professional based in Pueblo, Colorado. Phyllis Gardner is licensed to practice in Colorado (license number 1497) and her current practice location is
924 Indiana Ave, Pueblo, Colorado. She can be reached at her office (for appointments etc.) via phone at
(719) 564-9039.
NPI number for Phyllis Gardner is 1366458598 and her current mailing address is 924 Indiana Ave, Pueblo, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1366458598.
Provider's Profile
Full Name | Phyllis Gardner |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 924 Indiana Ave, Pueblo, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1366458598
- Provider Enumeration Date: 07/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Phyllis Gardner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366458598 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163W00000X | Registered Nurse | 35889 (Colorado) | Primary |
101YP2500X | Counselor - Professional | 1497 (Colorado) | 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. Phyllis 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 |
Phyllis Gardner, MA 924 Indiana Ave, Pueblo, CO 81004-3747 Ph: (719) 564-9039 | Phyllis Gardner, MA 924 Indiana Ave, Pueblo, CO 81004-3747 Ph: (719) 564-9039 |
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