Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA BETH GARDNER, PA-C
ActiveANDREA BETH GARDNER, PA-C is a Physician Assistant healthcare provider located in IDAHO FALLS, Idaho. NPI 1669917456 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · IDAHO FALLS, ID
Registration Details
- NPI Number
- 1669917456
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 3, 2017 (9.5975847147948 yrs)
- Last Updated
- Sep 22, 2022
- Licenses
-
10197766-1206 (UT)PA-1622 (ID)
Practice Information
- Address
-
3500 POTOMAC WAY STE 100IDAHO FALLS, ID, 834044977Browse ID providers · Browse ZIP 83404
- Phone
- 2085227666
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in IDAHO FALLS, ID
| Name | Credential | NPI |
|---|---|---|
| DERON J RICKS | PA | 1639156573 |
| PHILIP C HESSE | PA | 1811975386 |
| JASON CHRISTOPHER JOYNER | PA-C | 1356310239 |
| MATTHEW R NELSON | PA C | 1649221912 |
| JOSEPH D ANDERSON | PA-C | 1386699833 |
| MATTHEW J MERZLOCK | PA-C | 1316985229 |
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.