Individual
ROBBIE JOE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
412 N 200 E, LOGAN, UT 84321-4038
(435) 713-2800
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6789125-4405
UT
363L00000X
Nurse Practitioner
L1-0046673
DE
363LF0000X
Family Nurse Practitioner
55534
ID
Other
Enumeration date
02/26/2015
Last updated
12/09/2025
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