Most Relevant Information
Provider Data
| NPI Number: | 1003325051 |
| Provider Name: | KELLY ANN GARDNER APNP, AGACNP-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 363LA2100X |
| Specialty: | Nurse Practitioner |
| License Number: | 8009-33 |
Most Important Dates
| Enumeration Date: | 09/21/2017 |
| Last Updated: | 01/13/2021 |
Provider Practice Location
600 HIGHLAND AVE
MADISON
WI
53792
Practice Location Phone/Fax
| Phone: | 6082631530 |
| Fax: | 6082658887 |
Provider Mailing Location
7974 UW HEALTH CT
MIDDLETON
WI
535625531
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |