Individual
CARRIE E ORTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1633 N CAPITOL AVE, SUITE 301, INDIANAPOLIS, IN 46202-1476
(317) 963-0601
(317) 968-1152
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
71001260A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200359130
—
IN
Enumeration date
05/10/2006
Last updated
01/06/2021
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