Individual
DR. MYESHIA LA'TWAY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
INDIAN SERVICE RTE 140 & INDIAN SERVICE RTE 125, PINE HILL, NM 87357
(505) 775-3271
(505) 775-3633
Mailing address
PO BOX 404, PINEHILL, NM 87357-0404
(850) 445-7499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
282580
GA
363LF0000X
Family Nurse Practitioner
Primary
9270337
FL
Other
Enumeration date
07/09/2019
Last updated
07/09/2019
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