Individual
CARLO P BALMASEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28199938A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
28199938A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102564235
ANTHEM
IN
05
—
1102564235
—
IN
Enumeration date
05/10/2019
Last updated
05/05/2026
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