Individual
CAROL W DAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
RN221492
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009963240
—
AL
05
—
009963250
—
AL
01
—
051502841
BLUE CROSS
AL
05
—
051502841
—
AL
01
—
051502842
BLUE CROSS
AL
01
—
051502843
BLUE CROSS
AL
01
—
051503289
BC FEDERAL EHBP
AL
01
—
051519461
BLUE CROSS
AL
05
—
051519461
—
AL
01
—
P00176813
RAILROAD MEDICARE
AL
01
—
Q03243
VIVA
AL
Enumeration date
06/13/2006
Last updated
10/25/2012
Update your record
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