| Christopher Jeff Gardner, FNP-C | |
|
410 Cheyenne, Satanta, KS 67870-8748 | |
| (620) 649-2771 | |
| (620) 649-2538 |
| Full Name | Christopher Jeff Gardner |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 410 Cheyenne, Satanta, Kansas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326092172 | NPI | - | NPPES |
| 1326092172 | Medicaid | MO | |
| 200390150A | Medicaid | KS | |
| 45845 | Other | KS | ARNP # |
| 14-97622-101 | Other | KS | RN LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 2002018055 (Missouri) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 45845 (Kansas) | Primary |
| Entity Name | Davis County Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1487740486 PECOS PAC ID: 3971493040 Enrollment ID: O20040319001367 |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher Jeff Gardner, FNP-C 410 Cheyenne, Po Box 9, Satanta, KS 67870-8748 Ph: (620) 649-2771 | Christopher Jeff Gardner, FNP-C 410 Cheyenne, Satanta, KS 67870-8748 Ph: (620) 649-2771 |
Myrna Louise Gumpenberger, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Cheyenne Street, Satanta, KS 67870 Phone: 620-649-2771 Fax: 620-649-2538 | |
Mrs. Melanie Brooke Brewer, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 Cheyenne, Satanta, KS 67870 Phone: 620-682-8414 |