IndividualActive
Gary Gardner, N.P.
NPI 1003104993 · Women's Health Nurse Practitioner · Saint Louis, MO
Provider details
- NPI number
- 1003104993
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- N.P.
- Sex
- Male
- Sole proprietor
- No
- License
- 209005922 (IL)
Practice location
4251 Forest Park Ave
Saint Louis, MO 63108-2810
Phone: (618) 363-9545
Mailing address
26 N Pennsylvania Ave
Belleville, IL 62220-3952
Registry dates
- Enumerated
- 2011-07-13
- Last updated
- 2012-08-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.