Individual
DEBRA A GARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
5501 W BETHEL AVE, MUNCIE, IN 47304-8513
(765) 286-3900
(765) 286-3915
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
71003612A
IN
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
71003612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201046440
—
IN
01
—
RN067310
STATE LICENSE
AZ
Enumeration date
08/16/2005
Last updated
03/15/2021
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