Individual
MISTY MARIE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
720 W BROADWAY STE 201, LOUISVILLE, KY 40202-3245
(502) 893-5502
Mailing address
1805 N EWING ST, SEYMOUR, IN 47274-1126
(812) 569-3006
(812) 569-3006
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP9190978
FL
363LF0000X
Family Nurse Practitioner
71003274A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
3008211
KY
Other
Enumeration date
11/18/2008
Last updated
11/07/2013
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