Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carmen Mae Stoller

Individual provider Nurse Practitioner · NPI 1215609821

Carmen Mae Stoller is a Nurse Practitioner in Fort Wayne, Indiana. Works from 2 locations. Licensed in Indiana.

Licensed in
IN
In the registry since
2021

Practice location Address checks out

1909 Carew St
Fort Wayne, IN 46805-4707
Phone: (260) 481-2800
Fax: (260) 969-8442
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1720 Beacon St, Fort Wayne, IN 46805-4749 — (260) 373-8000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 71011901A (IN)

Record details

NPI number1215609821
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 1, 2021
Last updated in NPPESOctober 17, 2022
Certification dateOctober 15, 2022
Mailing address11109 Parkview Plaza Dr # 117, Fort Wayne, IN 46845-1701

Other providers in Fort Wayne