Most Relevant Information
Provider Data
| NPI Number: | 1003379413 |
| Provider Name: | CARRIE LYNN NANCE |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/11/2019 |
| Last Updated: | 04/11/2019 |
Provider Practice Location
7110 BRAXTON DR
NOBLESVILLE
IN
460628134
Practice Location Phone/Fax
| Phone: | 3177769033 |
| Fax: |
Provider Mailing Location
1776 N MERIDIAN ST
INDIANAPOLIS
IN
462021468
Provider Mailing Phone/Fax
| Phone: | 3172572229 |
| Fax: |