Individual
AUDRA RENAE DEARDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
128 N RANDOLPH ST, GARRETT, IN 46738-1138
(260) 357-6557
(260) 357-0373
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71015231A
IN
363LF0000X
Family Nurse Practitioner
AP137752
TX
Other
Enumeration date
06/17/2018
Last updated
04/29/2025
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