Individual
DANIELLE CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
211 US HIGHWAY 66 E, TELL CITY, IN 47586-2757
(812) 979-2136
Mailing address
314 STOCKBRIDGE LN, LAFAYETTE, IN 47909-6324
(586) 337-0967
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18034180204
MI
363LF0000X
Family Nurse Practitioner
71012570A
IN
Other
Enumeration date
06/05/2019
Last updated
10/23/2023
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