Individual
STEPHEN MCCARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-2764
(414) 777-4870
Mailing address
18167 US HIGHWAY 19 N, STE 650, CLEARWATER, FL 33764-6576
(414) 805-2764
(414) 777-4870
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN2968152
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN2968152
FLORIDA RN LICENSE #
FL
Enumeration date
03/14/2006
Last updated
01/19/2017
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