Search › Indiana › 363LP0200X
Ellisa Bolton, NP
NPI 1902630254 · on the registry since 2024
Practice
- Address
- 14828 Greyhound Ct Ste 100
Carmel, IN 46032 - Phone
- (317) 688-5220
- Fax
- (317) 688-5220
- Organisation at this address
- St. Vincent Medical Group, Inc.
St. Vincent Medical Group, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 10
Additional practice sites
- 1701 N Senate Blvd, Indianapolis, IN
Registry record
- Primary taxonomy
- 363LP0200X
363LP0200X
- Also registered as
- 163W00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana