Individual
MARGARET CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1343 N FOUNTAIN BLVD, SPRINGFIELD, OH 45504-1422
(937) 390-5029
Mailing address
1926 PERKINS DR, SPRINGFIELD, OH 45505-3520
(937) 322-8319
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN129236
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2251398
—
OH
Enumeration date
03/23/2006
Last updated
07/08/2007
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