Individual
HEATHER A CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2405 W LEXINGTON AVE, ELKHART, IN 46514-1417
(574) 524-7575
(574) 524-7575
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71015192A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300093448
—
IN
Enumeration date
04/22/2024
Last updated
04/08/2026
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