| Doctor Name: | DENISE M GARDNER |
| NPI Number: | 1992085336 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | R059366 |
| Business Practice Address: | 30 Houlton St Patten, ME - 047650500 |
| Business Phone Number: | 2075282285 |
| Business Fax Number: | 2075282880 |
| Mailing Address: | Po Box 500, PATTEN |
| State: | ME |
| Postal Code: | 047650500 |
| Phone Number: | 2075282285 |
| Fax Number: | 2075282880 |
| NPI Enumeration Date: | 08/17/2011 |
| NPI Last Update Date: | 08/17/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | R059366 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |