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Individual

NAELAH GARDNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PMHNP

Contact information

Practice address
1000 W 6TH AVE, GARY, IN 46402
(219) 885-4264
Mailing address
4112 WABASH AVE, HAMMOND, IN 46327-1220
(773) 387-5528

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PMH11240046
IN

Other

Enumeration date
12/23/2024
Last updated
12/23/2024
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