Robin Marie Gardner, LPN
Individual provider Active NPI Licensed Practical Nurse · Le Roy, NY
NPI 1306000492 · NPPES record last updated Jul 17, 2008
Key facts
- NPI
- 1306000492
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 249802 (NY)
- Practice address
- 156 Lake St
Front Apt
Le Roy, NY 14482-1029 - Phone
- (585) 768-9291
- NPI assigned
- Jul 17, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 249802 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 249802 | NY | Yes |
Addresses
Primary practice location
156 Lake St
Front Apt
Le Roy, NY 14482-1029
Mailing address
156 Lake St
Front Apt
Le Roy, NY 14482-1029
Phone (585) 768-9291
Other providers in Le Roy, NY
- Foot and Ankle Society of New York
- Catherine Ruth Forman
- Elona Fortuna
- Amanda Ashley Foster
- Eric L Gahagan
- Colleen M Garner
- Susan K Garrett
- Gav and Associates, LLC
- Geer NP in Family Health PLLC
- Genesee Country Chiropractic PLLC
All providers in Le Roy, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 17, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.