Individual
MRS. NOELLE L CARR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410
(888) 654-4116
Mailing address
11650 LANTERN RD STE 235, FISHERS, IN 46038-3106
(317) 576-8410
(888) 654-4116
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37002214A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37002214A
DIETITIAN LICENSE
IN
Enumeration date
08/09/2012
Last updated
08/09/2012
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