Provider Demographics
NPI:1811880362
Name:SCARDINE, KARLIE DANIELLE (AGACNP-BC)
Entity type:Individual
Prefix:
First Name:KARLIE
Middle Name:DANIELLE
Last Name:SCARDINE
Suffix:
Gender:F
Credentials:AGACNP-BC
Other - Prefix:
Other - First Name:KARLIE
Other - Middle Name:DANIELLE
Other - Last Name:VANDAGRIFFT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1801 N SENATE BLVD STE 2100
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-1243
Mailing Address - Country:US
Mailing Address - Phone:317-962-2848
Mailing Address - Fax:
Practice Address - Street 1:1801 N SENATE BLVD STE 2100
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-1243
Practice Address - Country:US
Practice Address - Phone:317-962-2848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28251714A163W00000X
IN71016683B363LA2100X
IN71016683A363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse