NPI Code Details Logo

NPI 1336931500

NPI 1336931500 : LINDEN CLAIRE CARSON : INDIANAPOLIS, IN

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336931500
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    LINDEN CLAIRE CARSON
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/21/2025
-----------------------------------------------------
    Last Update Date     |    05/21/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    7150 CLEARVISTA DR 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46256-1695
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    317-621-6262
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    6225 NORWALDO AVE 
-----------------------------------------------------
    City                 |    INDIANAPOLIS
-----------------------------------------------------
    State                |    IN
-----------------------------------------------------
    Zip                  |    46220-2130
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    502-822-0794
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    363A00000X
-----------------------------------------------------
    Taxonomy Name        |    Physician Assistant
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.