Individual
MRS. EVETTE NICOLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1335 SHEFFIELD RD, SOUTH EUCLID, OH 44121-3649
(216) 375-9868
Mailing address
1335 SHEFFIELD RD, SOUTH EUCLID, OH 44121-3649
(216) 375-9868
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.356195-
OH
164X00000X
Licensed Vocational Nurse
PN. 130245
OH
Other
Enumeration date
08/31/2009
Last updated
09/04/2010
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