Shannon L Gardiner in Nampa - Physician Assistant
Shannon L Gardiner - NPI 1689701260
Shannon L Gardiner is a Physician Assistant in Nampa, Idaho. Shannon L Gardiner practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Shannon L Gardiner is 1689701260. The last update date is 2023-11-01.
Shannon L Gardiner's current location address is 215 E Hawaii Ave, Nampa, Idaho. You can contact this provider via phone number 2084633000. The mailing address for Shannon L Gardiner is 215 E Hawaii Ave, Nampa, Idaho. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shannon L Gardiner |
|---|---|
| Address | 215 E Hawaii Ave, Nampa, Idaho |
| Phone Number | 2084633000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1689701260 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2023-11-01 |
Provider Mailing Address Detail
| Address | 215 E Hawaii Ave |
|---|---|
| City | Nampa |
| State | Idaho (ID) |
| Post Code | 836866011 |
| Phone Number | 2084633000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA403 |
|
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 806483300 | ID | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Shannon L Gardiner by the Centers for Medicare & Medicaid Services?
The Shannon L Gardiner has been issued the NPI (National Provider Identifier) 1689701260. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Shannon L Gardiner's facilities are geographically located?
The facilities of Shannon L Gardiner are physically situated at the following location: 215 E Hawaii Ave, Nampa, ID, 836866011.
What is Shannon L Gardiner's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shannon L Gardiner's specialized field of practice is Physician Assistant, and the corresponding taxonomy code that categorizes this area of specialization is 363A00000X.
On what date did Shannon L Gardiner receive its 1689701260 assignment from the Centers for Medicare & Medicaid Services?
The Shannon L Gardiner was assigned its 1689701260 on 2007-02-28, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Shannon L Gardiner most recently updated or revised?
The details related to Shannon L Gardiner, including its address, specialty, and other relevant information, were last updated or revised on 2023-11-01.