Individual
MRS. TERESA R CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3196 S MARYLAND PKWY, #309, LAS VEGAS, NV 89109-2305
(702) 791-0477
(702) 791-6831
Mailing address
3196 S MARYLAND PKWY, #309, LAS VEGAS, NV 89109-2305
(702) 791-0477
(702) 791-6831
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN000722
NV
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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