Individual
TANYA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1050 N ARGONNE RD STE 100, SPOKANE VALLEY, WA 99212-6011
(509) 953-4148
Mailing address
10519 N PEPPERCORN RD, HAUSER, ID 83854-4402
(208) 618-9143
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
RN60658595
WA
Other
Enumeration date
03/21/2025
Last updated
03/21/2025
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