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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ALEXANDRA TARA GARDNER

Active Sole Proprietor

ALEXANDRA TARA GARDNER is a Peer Specialist healthcare provider located in GRASS VALLEY, California. NPI 1003694050 is currently active in the NPPES registry. Verify at CMS.

Peer Specialist · GRASS VALLEY, CA

Registration Details

NPI Number
1003694050
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2023 (2.7153735498922 yrs)
Last Updated
Sep 20, 2023
Sole Proprietor
Yes

Practice Information

Address
16573 OLD AUBURN RD
GRASS VALLEY, CA, 95949
Browse CA providers · Browse ZIP 95949
Phone
5302730631
Fax
9165044328
Primary Specialty
Peer Specialist
175T00000X

Other Peer Specialist Providers in GRASS VALLEY, CA

Name Credential NPI
SANDE KAY M.A. 1730330713
MS. THERESA LEA HODGES CADC 1053644328
NILA MARIE ADAME CMPSS 1568881100
DARIN BENEDICT BARRY P.S.S. 1669964417
PATTAYA HUNTER 1336631191
MS. SHERA BANBURY MA ED 1376014415
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.