Laurel M Gardner, PA-C
Laurel M Gardner, PA-C is a Physician Assistant in Nampa, Idaho. Qualified in 2023, 3 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 3
- Licensed in
- ID
- In the registry since
- 2022
- Specialties on file
- 4
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
85 S Middleton RdNampa, ID 83651-1526
Phone: (208) 505-2800
Fax: (208) 505-2801
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence PA-2660 (ID) |
|---|---|
| Medical Technologist | Taxonomy 246QM0706X (ID) |
| Physician Assistant | Taxonomy 363A00000X |
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1700516978 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | June 12, 2022 |
| Last updated in NPPES | April 5, 2024 |
| Certification date | April 5, 2024 |
| Mailing address | 190 E Bannock St, Boise, ID 83712-6241 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2023 (3 years in practice) |
| Group practice | St Lukes Clinic-Treasure Valley Llc — 1150 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |