SAMANTHA GARDNER CPNP-PC
NPI 1053772954
Nurse Practitioner - Pediatrics in Comanche, OK

Active since March 19, 2016
513 HILLERY RD, SUITE C, COMANCHE, OK 73529(580) 439-2000(580) 439-5669 Get Directions Write a Review

NPPES record last updated: March 19, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samantha Gardner Cpnp-pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA GARDNER CPNP-PC (NPI 1053772954) is an individual pediatrics provider in Comanche, Oklahoma, licensed in Oklahoma (109994) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1053772954
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA GARDNERCredential: CPNP-PC
Location Address513 HILLERY RD, SUITE CComanche, OK 73529-1200
Mailing Address513 Hillery Rd, Suite CComanche, OK 73529-1200 · (580) 439-2000 · Fax (580) 439-5669
Fax(580) 439-5669
Sole ProprietorNo
Enumeration DateMarch 19, 2016
NPI 1053772954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in OK · 109994
513 HILLERY RD, Comanche, OK 73529

Other Names 1

Former Name (1)Samantha Kellogg Rn

Accepted Insurance

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
513 HILLERY RD
COMANCHE, OK 73529
Pharmacist
513 HILLERY RD, SUITE B
COMANCHE, OK 73529
Pharmacy (Community/Retail Pharmacy)
513 HILLERY RD, SUITE B
COMANCHE, OK 73529

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1053772954, enumerated as an "individual" on March 19, 2016.

The provider is located at 513 HILLERY RD SUITE C COMANCHE, OK 73529 and the phone number is (580) 439-2000.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Ambetter from Arkansas Health & Wellness, Ambetter. Please consult your insurance carrier or call the provider to verify.