person
Mary Judith Gardner, NP
Gerontology Nurse Practitioner in Grand Rapids, Michigan
NPI 1033791843

Mary Judith Gardner is a Gerontology Nurse Practitioner based in Grand Rapids, MI and is specialized in Gerontology. Mary Judith Gardner practices in Grand Rapids, MI and has the professional credentials of NP. The NPI Number for Mary Judith Gardner is 1033791843 and holds a License No. 4704281984 (Michigan).

The current practice location address for Mary Judith Gardner is 655 Kenmoor Ave Se Ste 101, Grand Rapids, MI and can be reached out via phone at 616-900-9911 and via fax at 616-900-9862.

Location: 655 Kenmoor Ave Se Ste 101, Grand Rapids, MI, 49546-8622
person
Provider Profile Details
NPI Number
1033791843
Provider Name
Mary Judith Gardner
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
655 Kenmoor Ave Se Ste 101, Grand Rapids, MI, 49546-8622
Phone Number
616-900-9911
Fax Number
616-900-9862
Provider Enumeration Date
04/22/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
655 Kenmoor Ave Se Ste 101
City
State
Zip
49546-8622
Phone Number
616-900-9911
Fax Number
616-900-9862
person
Provider Business Mailing Address Details
Address
655 Kenmoor Ave Se Ste 101
City
State
Zip
49546-8622
Phone Number
616-900-9911
Fax Number
616-900-9862
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
4704281984 (Michigan)
Definition
Definition to come...
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