Individual
REBECCA NICOLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3795 OCCONECHEE TRL, CHATTANOOGA, TN 37415-4332
(423) 255-9698
Mailing address
3795 OCCONECHEE TRL, CHATTANOOGA, TN 37415-4332
(423) 255-9698
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153484
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
20483
TN
Other
Enumeration date
07/22/2015
Last updated
11/19/2015
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