Provider Demographics
NPI:1255015368
Name:CONFER, CARA NICOLE (MDN, RDN, LD)
Entity type:Individual
Prefix:MISS
First Name:CARA
Middle Name:NICOLE
Last Name:CONFER
Suffix:
Gender:F
Credentials:MDN, RDN, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8450 VINE MAPLE WAY
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46278-9623
Mailing Address - Country:US
Mailing Address - Phone:317-345-2993
Mailing Address - Fax:
Practice Address - Street 1:8450 VINE MAPLE WAY
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46278-9623
Practice Address - Country:US
Practice Address - Phone:317-345-2993
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-12
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37003732A133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered