Individual
MICHELLE L CARLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1210 MEDICAL ARTS BLVD STE 114, ANDERSON, IN 46011-3442
(765) 298-4545
(765) 298-4945
Mailing address
1210 MEDICAL ARTS BLVD STE 114, ANDERSON, IN 46011-3442
(765) 298-4545
(765) 298-4945
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
71002701A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985700
—
IN
Enumeration date
08/05/2008
Last updated
10/22/2019
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