Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRANT R GARDNER, LPN
Active Sole ProprietorGRANT R GARDNER, LPN is a Licensed Practical Nurse healthcare provider located in BURLINGTON FLATS, New York. NPI 1356779219 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · BURLINGTON FLATS, NY
Registration Details
- NPI Number
- 1356779219
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 30, 2013 (12.83676346607 yrs)
- Last Updated
- Oct 30, 2013
- License
-
249313-1 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5907 STATE HIGHWAY 51BURLINGTON FLATS, NY, 133152009Browse NY providers · Browse ZIP 13315
- Phone
- 6079656620
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
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.