Individual
MRS. CAROLYN MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
10288 W STATE ROUTE 66, NEWBURGH, IN 47630-7952
(812) 583-5864
Mailing address
PO BOX 249, NEWBURGH, IN 47629-0249
(812) 853-5864
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2008007900
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000609519
ANTHEM
—
05
—
200936920
—
IN
05
—
7100085550
—
KY
Enumeration date
10/28/2008
Last updated
08/31/2011
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