Individual provider · NPI-1
Emma Meredith Carson, RN, BSN, CCRN
Registered Nurse, General Practice · Indianapolis, IN
NPI number1124847397
StatusActive
Last updated in NPPESOct 7, 2024
Details
- NPI
- 1124847397
- Entity type
- Individual (NPI-1)
- Name
- Emma Meredith Carson
- Credential
- RN, BSN, CCRN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 7, 2024
- Certification date
- Oct 5, 2024
- Last updated
- Oct 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 28230560A | IN | Yes |
Practice location
3908 Kivet CtIndianapolis, IN 46235-1808
Phone 801-897-8609
Mailing address
3908 Kivet CtIndianapolis, IN 46235-1808
Phone 801-897-8609
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