Individual
ELIZABETH HENDRICKSON CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, PMHNP
Contact information
Practice address
72 N MAIN ST STE 207, HUDSON, OH 44236-2867
(330) 294-4408
Mailing address
72 N MAIN ST STE 207, HUDSON, OH 44236-2867
(330) 294-4408
(234) 269-5428
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN.CNP.12592
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0103086
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
06/12/2011
Last updated
04/15/2026
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