| NPI | 1639625205 |
|---|---|
| Former Name | MOLLIE KATHLEEN GARDNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201801169NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OH 350691) |
| 163W00000X Registered Nurse (Licence: OR 201800505RN) | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OH APRN.CNP.019504) | |
| Enumeration Date | 2016-09-01 |
| Last Update Date | 2023-10-27 |