Search › Indiana › 104100000X
Mariah Fasan
NPI 1902692494 · on the registry since 2025
Practice
- Address
- 708 Adams St Ste 204
Carmel, IN 46032 - Phone
- (317) 456-2052
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-04-19
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