Individual
CECILIA CARROLL
Active
Individual
CECILIA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
AC000311
MD
367500000X
Certified Registered Nurse Anesthetist
Primary
R249024
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA3254
MEDICARE RAILROAD GROUP
MD
01
—
P00360601
MEDICARE RAILROAD
MD
Enumeration date
09/12/2006
Last updated
08/06/2024
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