Individual
MARCY GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
55 S FOREST AVE, BRAZIL, IN 47834-2624
(812) 442-5600
Mailing address
55 S FOREST AVE, BRAZIL, IN 47834-2624
(812) 442-5600
(812) 442-5600
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
28216017A
IN
Other
Enumeration date
12/06/2018
Last updated
11/24/2021
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