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Individual
BRETT LAVAR CARROLL
Active
Individual
BRETT LAVAR CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
A.P.R.N.
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
292953-4405
UT
363LA2100X
Acute Care Nurse Practitioner
292953-4405
UT
Other
Enumeration date
09/12/2016
Last updated
11/19/2025
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