Individual
CARRIE LYNN NANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7110 BRAXTON DR, NOBLESVILLE, IN 46062-8134
(317) 776-9033
Mailing address
1776 N MERIDIAN ST, INDIANAPOLIS, IN 46202-1468
(317) 257-2229
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222Q00000X
—
IN
Enumeration date
04/11/2019
Last updated
04/11/2019
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