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

Latisha Gardner

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1306767421

Latisha Gardner is a Psychiatric/Mental Health Nurse Practitioner in Eagleville, Pennsylvania. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

100 Eagleville Rd
Eagleville, PA 19403-1829
Phone: (610) 635-7550
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence ARNP.AP.70153048-NP (WA)

Record details

NPI number1306767421
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 23, 2026
Last updated in NPPESJuly 23, 2026
Certification dateJuly 23, 2026
Mailing address604 S Central Blvd, Broomall, PA 19008-4105

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