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Tammy Lynn Gardner, LPN

Licensed Practical Nurse in Oswego, NY. Individual provider (NPI-1).

NPI number1407201213
StatusActive
Last updated in NPPESApr 29, 2016

Details

NPI
1407201213
Entity type
Individual (NPI-1)
Name
Mrs. Tammy Lynn Gardner
Credential
LPN
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 29, 2016
Last updated
Apr 29, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
164W00000X Licensed Practical Nurse234379-1NYYes

Practice location

104 W Utica St
Suite 1a
Oswego, NY 13126-3031

Phone 315-342-1390 · Fax 315-342-3810

Mailing address

104 W Utica St
Suite 1a
Oswego, NY 13126-3031

Phone 315-342-1390 · Fax 315-342-3810

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