Individual
DEBORAH CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, PMHCNS-BC
Contact information
Practice address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2691
Mailing address
1481 W 10TH ST, INDIANAPOLIS, IN 46202-2803
(317) 988-2691
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
70000020A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200286850
—
IN
Enumeration date
12/06/2005
Last updated
03/15/2013
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