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

Mrs. Lisa A Gardner, RN, BSN, CCM

Individual provider Registered Nurse · NPI 1639467814

Mrs. Lisa A Gardner, RN, BSN, CCM is a Registered Nurse in Bristow, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
BSN — Bachelor of Science in Nursing
A four-year nursing degree.

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Practice location Address checks out

12150 Loft Ct
Bristow, VA 20136-1230
Phone: (412) 576-2106
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 0001221437 (VA)

Record details

NPI number1639467814
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , BSN , CCM
Sole proprietorNo
NPI enumeratedJuly 21, 2011
Last updated in NPPESJuly 21, 2011

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