Individual
AMANDA ALEISHA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1400 HOSPITAL DR, HURRICANE, WV 25526-9202
(304) 757-1700
Mailing address
817 N HILLS DR, CHARLESTON, WV 25387-1229
(304) 542-8321
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
111497
WV
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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