Carrie Mefford, PMHNP-BC | |
5435 E 16th St, Indianapolis, IN 46218-4869 | |
(317) 941-4000 | |
Not Available |
Full Name | Carrie Mefford |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 5435 E 16th St, Indianapolis, Indiana |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1376184556 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 28215706A (Indiana) | Primary |
Entity Name | State Of Indiana Auditor Of State |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564 |
Mailing Address | Practice Location Address |
---|---|
Carrie Mefford, PMHNP-BC 5435 E 16th St, Indianapolis, IN 46218-4869 Ph: () - | Carrie Mefford, PMHNP-BC 5435 E 16th St, Indianapolis, IN 46218-4869 Ph: (317) 941-4000 |
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