Individual
MIRANDA ANN GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
950 N MARKET ST, LIBERTY, IN 47353-8496
(765) 458-5191
(765) 458-7301
Mailing address
1100 REID PKWY, RICHMOND, IN 47374-1157
(765) 458-5191
(765) 458-7301
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008209A
IN
Other
Enumeration date
08/07/2018
Last updated
06/23/2021
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