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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

LATISHA GARDNER
NPI 1306767421
Nurse Practitioner - Psychiatric/Mental Health in Eagleville, PA

Active since July 23, 2026
100 EAGLEVILLE RD, EAGLEVILLE, PA 19403(610) 635-7550 Get Directions Write a Review

NPPES record added: July 23, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Latisha Gardner NPPES

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

LATISHA GARDNER (NPI 1306767421) is an individual psychiatric/mental health provider in Eagleville, Pennsylvania, licensed in Washington (ARNP.AP.70153048-NP) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1306767421
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameLATISHA GARDNER
Location Address100 EAGLEVILLE RDEagleville, PA 19403-1829
Mailing Address604 S Central BlvdBroomall, PA 19008-4105
Phone(610) 635-7550
Sole ProprietorYes
Enumeration DateJuly 23, 2026
NPPES CertifiedJuly 23, 2026
✔ NPI 1306767421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in WA · ARNP.AP.70153048-NP
100 EAGLEVILLE RD, Eagleville, PA 19403
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 17

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

DR. ANTHONY REPICI D.O.
General Practice
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000
DR. RICHARD HARVEY SPIEGEL M.D.
General Practice
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000
DR. LARA LOUISE MACUMBER PHARM D.
Pharmacist
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 635-7412
ROMAN KRUTIKOV PA-C
Physician Assistant
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (267) 255-3752
EAGLEVILLE HOSPITAL
Psychiatric Unit
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000
EAGLEVILLE HOSPITAL
Substance Abuse Rehabilitation Facility
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000
EAGLEVILLE HOSPITAL
Rehabilitation, Substance Use Disorder Unit
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000
EAGLEVILLE HOSPITAL
Family Medicine (Addiction Medicine)
100 EAGLEVILLE RD
EAGLEVILLE, PA 19403
Montgomery County (610) 539-6000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Latisha Gardner's NPI number?

The NPI number for Latisha Gardner is 1306767421. It was assigned to this individual provider in the NPPES registry on July 23, 2026.

Where is Latisha Gardner located?

Latisha Gardner practices at 100 Eagleville Rd, Eagleville, PA 19403. The listed phone number is (610) 635-7550.

What is Latisha Gardner's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Latisha Gardner was last updated on July 23, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.