Individual
CARRIE BREANNE VANVELSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, HFA
Contact information
Practice address
10531 E 10TH ST, INDIANAPOLIS, IN 46229-2604
(317) 683-8114
Mailing address
818 BOBTAIL DR, GREENFIELD, IN 46140-5536
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
3301148A
IN
376G00000X
Nursing Home Administrator
14005255A
IN
376K00000X
Nurse's Aide
CNA1305348
IN
Other
Enumeration date
10/24/2023
Last updated
10/24/2023
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