Individual
MAURA CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
26 PIER AVE, RIVERHEAD, NY 11901-5409
(631) 235-6065
Mailing address
26 PIER AVE, RIVERHEAD, NY 11901-5409
(631) 235-6065
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
328225-01
NY
Other
Enumeration date
01/20/2023
Last updated
01/20/2023
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