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Individual

CARRIE GRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1550 E COUNTY LINE RD STE 200, INDIANAPOLIS, IN 46227-0990
(317) 497-2130
(317) 863-2198
Mailing address
1550 E COUNTY LINE RD STE 200, INDIANAPOLIS, IN 46227-0990
(317) 497-2130
(317) 863-2198

Taxonomy

Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
28156443A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005978A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201338770
IN
01
P01588221
RR MEDICARE
IN
Enumeration date
08/06/2013
Last updated
02/02/2026
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