Individual
CATHY-ANN NIKEISHA CARBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
255 N MIAMI ST, WABASH, IN 46992-2705
(260) 563-8446
Mailing address
11415 CEDARMONT DR, FORT WAYNE, IN 46818-1951
(407) 456-2840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28247227A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71014898A
IN
Other
Enumeration date
08/24/2022
Last updated
03/15/2024
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