Individual
CHARICE N CARVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1920 DUPREY DR, FORT WAYNE, IN 46815-7611
(260) 249-5324
Mailing address
1930 MATHIAS ST, FORT WAYNE, IN 46815-7119
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28234156A
IN
Other
Enumeration date
04/13/2020
Last updated
04/27/2025
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