Individual
MS. FRETH L CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CNOR CRNFA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
222322
TX
163WR0006X
Registered Nurse First Assistant
Primary
222322
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149093001
—
TX
01
—
89N901
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/26/2006
Last updated
12/18/2008
Update your record
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