Individual
KATHERINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC/AC
Contact information
Practice address
6509 41ST AVE, UNIVERSITY PARK, MD 20782-2155
(610) 357-5867
Mailing address
6509 41ST AVE, UNIVERSITY PARK, MD 20782-2155
(610) 357-5867
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP1052429
DC
Other
Enumeration date
09/02/2022
Last updated
09/02/2022
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