National Provider Identifier
Latshia Marie Gardner
Latshia Marie Gardner is listed in the NPPES registry with a primary specialty of Case Manager/Care Coordinator in Depew, NY and a listed phone number of (716) 880-3793.
Profile Overview
- NPI
- 1497378830
- Provider Type
- Individual
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- May 20, 2020
- Last Updated
- May 20, 2020
Practice Location
- 3332 Walden Ave
- Depew, NY 14043-2400
Phone: (716) 880-3793
Specialties
- Case Manager/Care Coordinator (171M00000X)
Full Record
- NPI
- 1497378830
- Entity Type
- Individual
- Last Name
- Gardner
- First Name
- Latshia
- Middle Name
- Marie
- Mailing Street Address
- 3332 Walden Ave
- Mailing City
- Depew
- Mailing State
- NY
- Mailing ZIP Code
- 14043-2400
- Mailing Country
- US
- Mailing Phone
- (716) 880-3793
- Practice Street Address
- 3332 Walden Ave
- Practice City
- Depew
- Practice State
- NY
- Practice ZIP Code
- 14043-2400
- Practice Country
- US
- Practice Phone
- (716) 880-3793
- Enumeration Date
- May 20, 2020
- Last Updated
- May 20, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- May 20, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Case Manager/Care Coordinator (171M00000X)