Provider Demographics
NPI:1649265851
Name:MCCARTER, CHERYL ANN (FNP)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:MCCARTER
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1100 SOUTHFIELD DR
Mailing Address - Street 2:SUITE 1330
Mailing Address - City:PLAINFIELD
Mailing Address - State:IN
Mailing Address - Zip Code:46168-4498
Mailing Address - Country:US
Mailing Address - Phone:317-837-1999
Mailing Address - Fax:317-837-0233
Practice Address - Street 1:1100 SOUTHFIELD DR
Practice Address - Street 2:SUITE 1330
Practice Address - City:PLAINFIELD
Practice Address - State:IN
Practice Address - Zip Code:46168-4498
Practice Address - Country:US
Practice Address - Phone:317-837-1999
Practice Address - Fax:317-837-0233
Is Sole Proprietor?:No
Enumeration Date:2005-09-14
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IN71001605A363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
P96081Medicare UPIN