| Provider / Organization | NPI | Date Certified |
|---|---|---|
| KATHERINE GARDELLA | 1326709742 | 2023-12-07 |
Katherine Gardella is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1326709742. Registration indicates Katherine Gardella is a provider of services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant (Physician Assistant: Surgical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Surgical Technologist, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| Entity Type | Individual |
| Provider Name | Katherine Gardella |
| Practice Office Address | 240 S MAIN ST STE H WOLFEBORO, NH US |
| Practice Office Telephone | 6035697690 |
| Practice Office Fax | 6035697664 |
| Mailing Address | 240 S MAIN ST STE H WOLFEBORO, NH 038944411 US |
| Business Telephone | 6035697690 |
| Business Fax | 6055697664 |
| Code | Practice | License No State |
|---|---|---|
| 363AS0400X PRIMARY | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Surgical All Other Specialties & Provider Types Physician Assistant Surgical Technologist Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | 2119
NH |
| 363A00000X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA2487
ME |