Individual
CARRIE F BONSACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
1522 W MORRIS ST, INDIANAPOLIS, IN 46221-1629
(317) 488-2020
(317) 488-2031
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
09000152A
IN
367A00000X
Advanced Practice Midwife
72000106
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200809090
—
IN
Enumeration date
05/24/2006
Last updated
12/16/2024
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