Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Holis Gardner

Individual provider Licensed Vocational Nurse · NPI 1811368806

Holis Gardner is a Licensed Vocational Nurse in Lake Elsinore, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

31764 Casino Dr Ste 300
Lake Elsinore, CA 92530-4571
Phone: (951) 471-4645
Fax: (951) 471-4687
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Licensed Vocational Nurse (primary) Taxonomy 164X00000X · Licence 260944 (CA)

Record details

NPI number1811368806
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 15, 2015
Last updated in NPPESOctober 15, 2015
Mailing address31764 Casino Dr, Ste 300, Lake Elsinore, CA 92530-4571

Other providers in Lake Elsinore