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Contact Information

GEORGIA L GARDNER, RN
110 E ROUTT
PUEBLO, CO81004
 Phone: 719-543-8711
 Fax: 719-543-5340
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for GEORGIA L GARDNER · (Female)

NPI Number 1053489914
Status Active
Credentials RN (Registered Nurse)
Entity Individual
Enumeration date 11/30/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 49282
  • CO Medicaid 31785778
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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