Individual
DR. NATHAN MITCHELL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Contact information
Practice address
1000 N ALLEN ST, ROBINSON, IL 62454-1114
(618) 544-3131
Mailing address
152 EDWARDS ST APT A, GLEN CARBON, IL 62034-1132
(618) 535-5194
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209025391
IL
Other
Enumeration date
07/11/2022
Last updated
07/11/2022
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