Individual
CARRIE B PRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Mailing address
6326 CONSTITUTION DR, FORT WAYNE, IN 46804-1518
(260) 515-3275
(888) 803-6843
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71003963A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000911955
ANTHEM
—
05
—
0066704
—
OH
05
—
201071630
—
IN
01
—
PO1445373
RAILROAD MEDICARE
IN
Enumeration date
04/24/2012
Last updated
06/01/2026
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