Individual
SARAH CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
1201 HADLEY RD, MOORESVILLE, IN 46158-1737
(317) 831-6803
(317) 834-4432
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71009642A
IN
363LG0600X
Gerontology Nurse Practitioner
Primary
71009642A
IN
Other
Enumeration date
01/02/2020
Last updated
04/06/2023
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