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Contact Information

DAVID A GARDNER JR
593 EDDY STREET
APC MAIN
PROVIDENCE, RI02903
 Phone: 401-444-5435
 Fax: 401-444-8301
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acute Care

363LA2100X 50 Nurse Practitioner
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for DAVID A GARDNER JR · (Male)

NPI # 1427537604
Status Active
Credentials
Entity Individual
Enumeration date 08/09/2018
Last updated 09/19/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • RI License # APRN01860
Hospital affiliation(s)
  • MIRIAM HOSPITAL - (Acute Care)
    164 SUMMIT AVENUE
    PROVIDENCE, RI 02906
  • RHODE ISLAND HOSPITAL - (Acute Care)
    593 EDDY STREET
    PROVIDENCE, RI 02902
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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