Fraley, Carole J.

Fraley, Carole J. is an individual health care provider with primary practice located at 1701 N Senate Blvd Ag001, Indianapolis IN 46202-1239. 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 / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Fraley, Carole J. can be contacted via phone (317) 962-8880.

Contact Information

Primary practice address
1701 N Senate Blvd Ag001 Indianapolis IN 46202-1239
Phone: (317) 962-8880
Fax: (317) 962-7086
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71000885 Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71000885 Indiana

Profile Details

NPI number 1417144502
LBN Legal business name Fraley, Carole J.
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2007
Last updated Jun 15th, 2024 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417144502 NPPES
Indiana MEDICAID 200880110

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