Individual
COLLEEN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(440) 465-0898
Mailing address
1343 W 65TH ST, CLEVELAND, OH 44102-2109
(440) 465-0898
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
F02220369
OH
Other
Enumeration date
04/15/2022
Last updated
04/15/2022
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