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 |