Individual
NANCY APEL CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
778 MAIN ST, SUITE 2, SOUTH PORTLAND, ME 04106-5447
(207) 775-1255
(207) 775-1299
Mailing address
39 WALLACE AVE, SOUTH PORTLAND, ME 04106-6143
(207) 761-0650
(207) 761-8198
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
AP081710
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
297340099
—
ME
05
—
30346876
—
NH
Enumeration date
10/27/2005
Last updated
11/03/2009
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