Individual
MS. BETTY ANGEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSING LPN
Contact information
Practice address
94 HARTFIELD COURT, POWELL, OH 43065
(614) 760-9197
(614) 760-9197
Mailing address
POB 340414, COLUMBUS, OH 43234
(614) 760-9197
(614) 760-9197
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN049143
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2450655
—
OH
Enumeration date
05/02/2007
Last updated
07/08/2007
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