Individual
INDIRA M CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, NNP
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-5433
Mailing address
4490 RABER RD NE, DOVER, OH 44622-6984
(330) 340-3479
Taxonomy
Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
NP08526
OH
Other
Enumeration date
06/29/2006
Last updated
04/27/2021
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