Individual
MRS. CAROL AILEEN DIAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
(317) 577-1353
Mailing address
9805 GEIST CROSSING DR, INDIANAPOLIS, IN 46256-4819
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71008029A
IN
Other
Enumeration date
04/23/2018
Last updated
09/11/2020
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