Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. SHANNON L GARDINER, PA
ActiveMRS. SHANNON L GARDINER, PA is a Surgical Physician Assistant healthcare provider located in MERIDIAN, Idaho. NPI 1689701260 is currently active in the NPPES registry. Verify at CMS.
Surgical Physician Assistant · MERIDIAN, ID
Registration Details
- NPI Number
- 1689701260
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 28, 2007 (19.313615206347 yrs)
- Last Updated
- Apr 24, 2024
- Licenses
-
PA403 (ID)PA-403 (ID)
Practice Information
- Address
-
875 S VANGUARD WAY STE 200MERIDIAN, ID, 836428542Browse ID providers · Browse ZIP 83642
- Phone
- 2088092895
- Fax
- 2088092896
- Primary Specialty
-
Surgical Physician Assistant
363AS0400X
- Additional Specialty
- Surgical Physician Assistant
Other Surgical Physician Assistant Providers in MERIDIAN, ID
| Name | Credential | NPI |
|---|---|---|
| CLAIRE MAGNOLO | PA-C | 1003869355 |
| MR. WILLIAM B CURTIS | O.P.A.-C | 1093853871 |
| MR. TRACY D. MICKELSEN | CSFA | 1801073655 |
| TRACEY REEVE | PA-C | 1174789994 |
| DON H CURTIS | CSFA | 1982937066 |
| JACOB RADIL | PA-C | 1811337017 |
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.