Carson, Allie Martissa

Carson, Allie Martissa is an individual health care provider with primary practice located at 13050 Parkside Dr Ste 101 , Fishers IN 46038-8247. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carson, Allie Martissa can be contacted via phone (317) 621-2290.

Contact Information

Primary practice address
13050 Parkside Dr Ste 101 Fishers IN 46038-8247
Phone: (317) 621-2290
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71001886A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001886A Indiana

Profile Details

NPI number 1619922150
LBN Legal business name Carson, Allie Martissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Oct 4th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619922150 NPPES
Indiana MEDICAID 200845300
Indiana Other P01197278

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