Individual
CECILIA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
106 BOW ST, ELKTON, MD 21921-5544
(410) 398-4000
Mailing address
PO BOX 7356, LANCASTER, PA 17604-7356
(410) 398-4679
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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