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Carly Dearth
Family Nurse Practitioner in Crown Point, Indiana
NPI 1689249294

Carly Dearth is a Family Nurse Practitioner based in Crown Point, IN and is specialized in Family. Carly Dearth practices in Crown Point, IN. The NPI Number for Carly Dearth is 1689249294 and holds a License No. 209022620 (Indiana).

The current practice location address for Carly Dearth is 5521 W Lincoln Hwy, Crown Point, IN and can be reached out via phone at 219-769-1362.

Location: 5521 W Lincoln Hwy, Crown Point, IN, 46307-9433
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689249294
Provider Name
Carly Dearth
Credential
Provider Entity Type
Individual
Gender
Female
Address
5521 W Lincoln Hwy, Crown Point, IN, 46307-9433
Phone Number
219-769-1362
Fax Number
Provider Enumeration Date
05/25/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5521 W Lincoln Hwy
City
Crown Point
State
Indiana
Zip
46307-1097
Phone Number
219-769-1362
Fax Number
person
Provider Business Mailing Address Details
Address
5521 W Lincoln Hwy
City
Crown Point
State
Indiana
Zip
46307-1097
Phone Number
219-769-1362
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
209022620 (Illinois)
Definition
Definition to come...
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