Individual
MRS. GERALYN CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
551 BROADWAY, EAGLE, CO 81631
(970) 328-9819
Mailing address
551 BROADWAY PO BOX 660, EAGLE, CO 81631
(970) 328-9819
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
92046
CO
Other
Enumeration date
02/02/2015
Last updated
03/11/2015
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