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Individual

MRS. CARLA DENISE GARDENHIRE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6835
(219) 947-6837
Mailing address
1500 S LAKE PARK AVE, HOBART, IN 46342-6638
(219) 947-6835
(219) 947-6837

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
28102423A
IN

Other

Enumeration date
04/02/2009
Last updated
04/02/2009
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