Individual
ALYSSA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 LAKE AVE, PLYMOUTH, IN 46563-9366
(574) 948-4138
Mailing address
30201 SMITH RD, WALKERTON, IN 46574-9730
(574) 948-4138
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
28254898A
IN
Other
Enumeration date
05/26/2026
Last updated
05/26/2026
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