Individual
MRS. ANGELIQUE IRENE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19600 E 39TH ST S, INDEPENDENCE, MO 64057-2301
(913) 428-2900
(913) 428-2951
Mailing address
8717 W 110TH ST, SUITE 600, OVERLAND PARK, KS 66210-2144
(913) 428-2900
(913) 428-2951
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2016019530
MO
Other
Enumeration date
05/17/2016
Last updated
09/12/2016
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