Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. LEAETTA MILDRED GARDNER, LPN/ADM
Active Sole ProprietorMS. LEAETTA MILDRED GARDNER, LPN/ADM is a Nursing Facility/Intermediate Care Facility healthcare provider located in ROLLA, Missouri. NPI 1518303296 is currently active in the NPPES registry. Verify at CMS.
Nursing Facility/Intermediate Care Facility · ROLLA, MO
Registration Details
- NPI Number
- 1518303296
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 21, 2013 (13.240238591658 yrs)
- Last Updated
- May 21, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
13450 COUNTY ROAD 7040ROLLA, MO, 65401Browse MO providers · Browse ZIP 65401
- Phone
- 5733418000
- Fax
- 5734263964
- Primary Specialty
-
Nursing Facility/Intermediate Care Facility
313M00000X
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.