Individual
MS. CARLIE LYNN ELSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 FERRY ST, LAFAYETTE, IN 47904-3021
(765) 449-1555
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71014060A
IN
Other
Enumeration date
05/24/2023
Last updated
09/22/2023
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