Individual
NICOLE E CARROLL-MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4101 NE DIVISION ST, GRESHAM, OR 97030-4617
(503) 666-6575
Mailing address
3930 NW WITHAM HILL DR APT 60, CORVALLIS, OR 97330-0909
(541) 221-9476
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201142350RN
OR
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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