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Individual

CARA MARIE PLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
427 MAIN ST., LAFAYETTE, IN 47901-1369
(765) 413-2831
(833) 913-2401
Mailing address
427 MAIN ST STE 210, LAFAYETTE, IN 47901-1941
(765) 404-8099

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
28229309A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
28229309A
NURSING BOARD
IN
Enumeration date
08/25/2022
Last updated
11/22/2024
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