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

Lukas Gardner

Individual provider Acute Care Nurse Practitioner · NPI 1215745104

Lukas Gardner is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2024, 2 years ago. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

1851 N Gemini Dr
Flagstaff, AZ 86001-1607
Phone: (928) 547-2718
Show map & directions

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

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 247536 (AZ)

Record details

NPI number1215745104
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedDecember 23, 2024
Last updated in NPPESJanuary 18, 2026
Certification dateJanuary 18, 2026
Mailing address4343 E Soliere Ave Apt 2023, Flagstaff, AZ 86004-7953

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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