Individual
CHERYL S CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
211 VIRGINIA RD, ANESTHESIA DEPT, EDENTON, NC 27932-9668
(252) 482-6744
Mailing address
PO BOX 629, EDENTON, NC 27932-0629
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
123639
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8050145
—
NC
05
—
8940452
—
VA
05
—
8940461
—
VA
05
—
8940479
—
VA
05
—
8940487
—
VA
05
—
8940495
—
VA
Enumeration date
01/25/2006
Last updated
05/08/2008
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