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1053083865
NATHAN GARDNER
AUSTIN, TX
NPI
1053083865
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: TX 1055941)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
NATHAN GARDNER PMHNP
1407 W STASSNEY LN
AUSTIN, TX 78745-2947
Phone number: 512-440-4800
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Mailing Address
NATHAN GARDNER PMHNP
501 S RED RIVER ST
HENRIETTA, TX 76365-3709
Phone number: 940-228-6510
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