Individual
CARMANNY S DINKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP
Contact information
Practice address
950 N MERIDIAN ST, INDIANAPOLIS, IN 46204-1077
(317) 963-2200
(317) 963-1621
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008720A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068010674
MEDICARE
IN
01
—
264430H04
MEDICARE PTAN
IN
05
—
300023443
—
IN
01
—
IN1802162
MEDICARE
IN
Enumeration date
10/04/2018
Last updated
02/09/2024
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