# CONNIE S CARUNCHIA PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Connie S. Herron, PC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487948816
- **Authorized official:** CONNIE S. COLE NP-C (PRESIDENT/OWNER)
- **Authorized official phone:** (260) 349-8185

## Contact information

- **Practice address:** 5900 E 500 N, KENDALLVILLE, IN 46755-9349
- **Practice address phone:** (260) 349-8185
- **Practice address fax:** (888) 347-0088
- **Mailing address:** 5900 E 500 N, KENDALLVILLE, IN 46755-9349
- **Mailing address phone:** (260) 349-8185
- **Mailing address fax:** (888) 347-0088

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LG0600X | Gerontology Nurse Practitioner | 55000068A | IN | Yes |

## Other

- **Enumeration date:** 06/02/2011
- **Last updated:** 08/04/2014