Individual
MRS. MAYA DEVONNE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
150 VALPREDA RD, SAN MARCOS, CA 92069-2973
(760) 736-6780
Mailing address
34640 MEADOWSIDE LN, WINCHESTER, CA 92596-5212
(931) 217-4898
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95013568
CA
Other
Enumeration date
01/09/2020
Last updated
04/16/2025
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