Price, Carrie B
Price, Carrie B is an individual health care provider with primary practice located at 6326 Constitution Dr , Fort Wayne IN 46804-1518. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Price, Carrie B can be contacted via phone (260) 515-3275.Contact Information
Primary practice address
6326 Constitution Dr
Fort Wayne IN 46804-1518
Phone: (260) 515-3275
Fax: (888) 803-6843
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71003963A | Indiana |
Profile Details
| NPI number | 1275891640 |
|---|---|
| LBN Legal business name | Price, Carrie B |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 24th, 2012 |
| Last updated | Jun 1st, 2026 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275891640 | NPPES |
| Other | 000000911955 | ANTHEM | |
| MEDICAID | 0066704 | ANTHEM | |
| MEDICAID | 201071630 | ANTHEM | |
| Other | PO1445373 | ANTHEM |
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