Individual
MELISSA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
1101 SAM PERRY BLVD, FREDERICKSBURG, VA 22401-4467
(540) 226-5740
Mailing address
12121 SAWHILL BLVD, SPOTSYLVANIA, VA 22553-3678
(540) 226-5740
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
0024187801
VA
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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