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Miss Grace Lauren Carpenter
Student in an Organized Health Care Education/Training Program in Mishawaka, Indiana
NPI 1326749391

Grace Lauren Carpenter is a Student in an Organized Health Care Education/Training Program based in Mishawaka, IN. Grace Lauren Carpenter practices in Mishawaka, IN. The NPI Number for Grace Lauren Carpenter is 1326749391 and holds a License No. 45021866A (Indiana).

The current practice location address for Grace Lauren Carpenter is 5215 Holy Cross Pkwy, Mishawaka, IN and can be reached out via phone at 574-850-6441.

Location: 5215 Holy Cross Pkwy, Mishawaka, IN, 46544-9159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326749391
Provider Name
Grace Lauren Carpenter
Credential
Provider Entity Type
Individual
Gender
Female
Address
5215 Holy Cross Pkwy, Mishawaka, IN, 46544-9159
Phone Number
574-850-6441
Fax Number
Provider Enumeration Date
03/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-850-6441
Fax Number
person
Provider Business Mailing Address Details
Address
5215 Holy Cross Pkwy
City
Mishawaka
State
Indiana
Zip
46545-1469
Phone Number
574-850-6441
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
45021866A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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