Individual
CARRIE ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1800 N CAPITOL AVE, NOYES PAVILION E-140, INDIANAPOLIS, IN 46202-1218
(317) 962-8776
(317) 963-5285
Mailing address
250 N SHADELAND AVE, STE 130 PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71002222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201094250
—
IN
01
—
P00886816
RAILROAD MEDICARE
IN
Enumeration date
11/07/2006
Last updated
02/26/2014
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