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Individual

DANIELLE L HARDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
2900 16TH ST, BEDFORD, IN 47421-3510
(812) 275-1300
(812) 275-1322
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71006115A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001012669
ANTHEM PTAN
IN
01
000001013140
ANTHEM PTAN
IN
05
201348130
IN
Enumeration date
02/01/2016
Last updated
10/14/2024
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