Tanneku Gardner, Lpn
Licensed Practical Nurse in Concord, NC. Individual provider (NPI-1).
NPI number1811277940
StatusActive
Last updated in NPPESJan 27, 2022
Details
- NPI
- 1811277940
- Entity type
- Individual (NPI-1)
- Name
- Tanneku Gardner
- Credential
- Lpn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 20, 2011
- Certification date
- Jan 27, 2022
- Last updated
- Jan 27, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | pn113538 | OH | Yes |
Practice location
316 Halton Crossing Dr SwConcord, NC 28027-9432
Phone 704-794-3178
Mailing address
316 Halton Crossing Dr SwConcord, NC 28027-9432
Phone 704-794-3178
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 29 Licensed Practical Nurse providers in Concord · All 4,546 providers in Concord
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