Individual
CARMEN BRIANNE LANIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
720 ESKENAZI AVE, INDIANAPOLIS, IN 46202-5166
(317) 880-0000
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005488A
IN
363LA2100X
Acute Care Nurse Practitioner
28191595A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71005488A
IN
Other
Enumeration date
05/16/2015
Last updated
07/22/2025
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