Provider Demographics
NPI:1588557748
Name:GARTNER, CHRISTAL
Entity type:Individual
Prefix:
First Name:CHRISTAL
Middle Name:
Last Name:GARTNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 N PARK ST
Mailing Address - Street 2:
Mailing Address - City:DALTON
Mailing Address - State:NE
Mailing Address - Zip Code:69131-7737
Mailing Address - Country:US
Mailing Address - Phone:408-613-7283
Mailing Address - Fax:
Practice Address - Street 1:1116 10TH AVE STE A
Practice Address - Street 2:
Practice Address - City:SIDNEY
Practice Address - State:NE
Practice Address - Zip Code:69162-2001
Practice Address - Country:US
Practice Address - Phone:308-524-5573
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-29
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider