Individual provider · Type 1 NPI

Carly Dearth

Family Nurse Practitioner · Crown Point, IN

NPI number 1689249294 Active

Practice location

5521 W Lincoln Hwy
Crown Point, IN 46307-1097

Mailing address

7028 E 110th Ln
Crown Point, IN 46307-9433

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X209022620 (IL)

Family Nurse Practitioner: Definition to come...

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About NPI 1689249294

Carly Dearth's National Provider Identifier is 1689249294, issued on May 25, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Crown Point, IN. The record was last updated on Feb 20, 2023.