Individual
CARRIE CHRISTINE BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
5050 N CLINTON ST, FORT WAYNE, IN 46825-5886
(260) 484-8551
(260) 482-5060
Mailing address
5052 N CLINTON ST, FORT WAYNE, IN 46825-5822
(260) 484-8551
(260) 482-5060
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28190190A
IN
367500000X
Certified Registered Nurse Anesthetist
84085
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200998260
—
IN
Enumeration date
05/28/2008
Last updated
10/24/2018
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