| Latisha Gardner, | |
|
100 Eagleville Rd, Eagleville, PA 19403-1829 | |
| (610) 635-7550 | |
| Not Available |
| Full Name | Latisha Gardner |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 Eagleville Rd, Eagleville, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306767421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | ARNP.AP.70153048-NP (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Latisha Gardner, 604 S Central Blvd, Broomall, PA 19008-4105 Ph: Not Available | Latisha Gardner, 100 Eagleville Rd, Eagleville, PA 19403-1829 Ph: (610) 635-7550 |
Jeanette Polite-thomas, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 E Mount Kirk Ave, Eagleville, PA 19403 Phone: 610-539-3474 |
Tina Marsteller, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Eagleville Rd, Eagleville, PA 19403 Phone: 484-526-2400 |
Iwona Galani, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3055 Ridge Pike, Suite 200, Eagleville, PA 19403 Phone: 610-539-9100 |
Mrs. Constance M. Mario, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 Eagleville Road, Eagleville, PA 19408 Phone: 610-635-7588 Fax: 610-539-0785 |