Individual provider · NPI-1
Nicole Gardner, CNS
Clinical Nurse Specialist · Madison, WI
NPI number1508795584
StatusActive
Last updated in NPPESMay 15, 2026
Details
- NPI
- 1508795584
- Entity type
- Individual (NPI-1)
- Name
- Nicole Gardner
- Credential
- CNS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 15, 2026
- Certification date
- May 15, 2026
- Last updated
- May 15, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364S00000X | Clinical Nurse Specialist | 221169-30 | WI | Yes |
Practice location
600 Highland AveMadison, WI 53792-0001
Phone 608-504-4220
Mailing address
600 Highland AveMadison, WI 53792-0001
Phone 608-504-4220
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