Individual
DARYEN CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
NP
Contact information
Practice address
1809 S MAIN ST, UPLAND, IN 46989-9257
(765) 770-0650
(765) 770-0652
Mailing address
1809 S MAIN ST STE 100, UPLAND, IN 46989-9258
(765) 770-0650
(765) 770-0652
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
71017403A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71017403A
IN
Other
Enumeration date
11/10/2025
Last updated
02/04/2026
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