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MADISON NICOLE CAROLLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP - AC

Contact information

Practice address
2301 ERWIN RD, DURHAM, NC 27705-4699
(913) 940-4474
Mailing address
PO BOX 110566, DURHAM, NC 27709-5566
(919) 620-4555
(919) 620-4921

Taxonomy

Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
5023935
NC
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
5023935
NC

Other

Enumeration date
02/09/2026
Last updated
02/19/2026
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