Tia Simone Gardner
Student in an Organized Health Care Education/Training Program in Waterbury, Connecticut
1679155014- Practice location
- 402 E Main St, Waterbury, CT 06702-1701
- Phone
- 203-574-9000
- Fax
- 203-574-9006
- Last updated
- April 26, 2021
Tia Simone Gardner is a Student in an Organized Health Care Education/Training Program based in Waterbury, CT. Tia Simone Gardner practices in Waterbury, CT. The NPI Number for Tia Simone Gardner is 1679155014. The current practice location address for Tia Simone Gardner is 402 E Main St, Waterbury, CT 06702-1701 and can be reached out via phone at 203-574-9000 and via fax at 203-574-9006.
Provider Profile Details
- NPI Number
- 1679155014
- Provider Name
- Tia Simone Gardner
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 402 E Main St, Waterbury, CT 06702-1701
- Phone Number
- 203-574-9000
- Fax Number
- 203-574-9006
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 26, 2021
- Last Update Date
- April 26, 2021
- Certification Date
- April 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 402 E Main St
Waterbury, CT 06702-1701 - City
- Waterbury
- State
- Connecticut
- Zip
- 06702-1701
- Phone Number
- 203-574-9000
- Fax Number
- 203-574-9006
Provider Business Mailing Address Details
- Address
- 141 E Main St
Waterbury, CT 06702-2310 - City
- Waterbury
- State
- CT
- Zip
- 06702-2310
- Phone Number
- 203-574-9000
- Fax Number
- 203-574-9006
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Tia Simone Gardner?
The NPI number of Tia Simone Gardner is 1679155014. It was assigned on April 26, 2021 and is currently active in the NPPES registry.
What is the specialty of Tia Simone Gardner?
Tia Simone Gardner is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Tia Simone Gardner practice?
The practice location is 402 E Main St, Waterbury, CT 06702-1701. The office can be reached at 203-574-9000 (phone) or 203-574-9006 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1679155014 directly on the NPPES registry website.