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Individual

MRS. VICKIE E CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP

Contact information

Practice address
3011 W SMOKEY ROW RD, STE. A, BARGERSVILLE, IN 46106-8803
(317) 535-0453
(317) 535-0467
Mailing address
3011 W SMOKEY ROW RD, STE. A, BARGERSVILLE, IN 46106-8803
(317) 535-0453
(317) 535-0467

Taxonomy

Speciality
Code
Description
License number
State
364SP0200X
Pediatric Clinical Nurse Specialist
Primary
71001139A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201012790
IN
Enumeration date
08/17/2007
Last updated
10/26/2012
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