Provider Demographics
NPI:1760434393
Name:PIFER, CAROLE H (NP RN APRN)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:H
Last Name:PIFER
Suffix:
Gender:F
Credentials:NP RN APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6357 MEADOWVIEW DR
Mailing Address - Street 2:
Mailing Address - City:WHITESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:46075
Mailing Address - Country:US
Mailing Address - Phone:317-627-7435
Mailing Address - Fax:
Practice Address - Street 1:3905 VINCENNES RD
Practice Address - Street 2:SUITE 303
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-7800
Practice Address - Country:US
Practice Address - Phone:317-374-0233
Practice Address - Fax:317-471-3510
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71001025A363L00000X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN675570PPMedicare PIN