Individual
CARLI DANIELLE VAN HOY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11725 ILLINOIS ST STE 355, CARMEL, IN 46032-3009
(317) 688-5100
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
71010072A
IN
363LG0600X
Gerontology Nurse Practitioner
28222545A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71010072A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264431008
MEDICARE PTAN
IN
05
—
300040945
—
IN
Enumeration date
06/10/2020
Last updated
07/26/2023
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