Individual
HEATHER NICOLE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 788-5207
Mailing address
555 N ARLINGTON AVE, RENO, NV 89503-4723
(775) 786-3040
(775) 786-1887
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN002404
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023550704
—
NV
01
—
13874564
CAQH
—
Enumeration date
11/10/2016
Last updated
04/28/2022
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