P Praxis·MD
● Active Type 1 · Individual

Laurel M Gardner, PA-C

Physician Assistant·Nampa, ID· NPI 1700516978 · Enumerated 2022 · 3 years on NPI
Gardner is 1 of 96 physician assistant providers in Nampa and 1 of 1263 in Idaho.
NPI age
3 years
Enumerated 2022-06-12
Primary specialty
Physician Assistant
Plus 3 subspecialties
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2024-04-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 1263 active physician assistant providers in Idaho.

NPI age
3 years
↓ 6 yr below median (9 yr)
State licenses
1 state
19% of peers hold multiple states
Subspecialties
2
In the 35% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Practice location
85 S Middleton Rd
Nampa, ID 836511526
📞 2085052800fax 2085052801
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083818752

Specialties

  • Physician Assistant Primary
    A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
    ID license #PA-2660 taxonomy 363A00000X
  • Specialist/Technologist, Pathology
    Definition to come...
    taxonomy 246QM0706X
  • Student in an Organized Health Care Education/Training Program
    An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
    taxonomy 390200000X

Practice context

Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physician assistant provider has been added in Nampa in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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