IndividualActive
Daryen Carothers, NP
NPI 1104796614 · Primary Care Nurse Practitioner · Upland, IN
Provider details
- NPI number
- 1104796614
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sole proprietor
- No
- License
- 71017403A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1809 S Main St
Upland, IN 46989-9257
Phone: (765) 770-0650
Fax: (765) 770-0652
Approximate (ZIP-level) locationGet directions
Mailing address
1809 S Main St Ste 100
Upland, IN 46989-9258
Registry dates
- Enumerated
- 2025-11-10
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.