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Individual

CARLY ANN NAHRWOLD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11143 PARKVIEW PLAZA DR STE 207, FORT WAYNE, IN 46845-1728
(260) 266-5370
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71011264A
IN
363LF0000X
Family Nurse Practitioner
F06200891
IN

Other

Enumeration date
07/27/2020
Last updated
10/17/2022
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