Individual
MS. CAROLYN MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
58887 BREMEN HWY, MISHAWAKA, IN 46544-6414
(574) 255-6182
(574) 255-6376
Mailing address
58887 BREMEN HWY, MISHAWAKA, IN 46544-6414
(574) 255-6182
(574) 255-6376
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28130755A
IN
163W00000X
Registered Nurse
Primary
4704207956
MI
367A00000X
Advanced Practice Midwife
09000046A
IN
367A00000X
Advanced Practice Midwife
4704207956
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000277513
ANTHEM ID NUMBER
IN
Enumeration date
03/30/2007
Last updated
09/11/2025
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