Individual provider · Type 1 NPI

Audra Renae Deardorf, FNP-C

Nurse Practitioner · Garrett, IN

NPI number 1467946111 Active

Practice location

128 N Randolph St
Garrett, IN 46738-1138

Fax (260) 357-0373

Mailing address

11109 Parkview Plaza Dr # 117
Fort Wayne, IN 46845-1701

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000XAP137752 (TX)
Nurse Practitioner Primary 363L00000X71015231A (IN)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1467946111

Audra Renae Deardorf, FNP-C's National Provider Identifier is 1467946111, issued on Jun 17, 2018. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Garrett, IN. The record was last updated on Apr 29, 2025.