Carnetta Anderson

NPI 1174706329 - Licensed Practical Nurse - 164W00000X

NPI Details
NPI 1174706329
Gender Female
Enumeration Date 12/11/2007
Last Updated 12/11/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
2626 E 46TH ST
STE J
INDIANAPOLIS IN, 46205-2380, US
Phone (317) 475-9066
Fax
Business Location
4954 BROCK ST APT 210
INDIANAPOLIS IN, 46254-4761, US
Phone
Fax
Toxanomy
Taxonomy Code 164W00000X
License State Indiana
License Number 27014117A
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According to our database, Carnetta Anderson NPI is 1174706329, taxonomy code is 164W00000X and license number is 27014117A, license state is located at Indiana. Carnetta Anderson physically located at 2626 E 46th St, Indianapolis IN, 46205-2380. NPI Number Carnetta Anderson has the Individual type.

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1174706329 NPI number is provided on an as is basis without warranty of any kind. 1174706329 is maintained by the National Plan & Provider Enumeration System. The contents of Carnetta Anderson are for informational purposes only.