Individual
CHRISTINE ELIZABETH CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
1 BARTOL AVE, RIDLEY PARK, PA 19078-2214
(610) 521-0150
Mailing address
207 N BROAD ST FL 3, PHILADELPHIA, PA 19107-1500
(215) 222-3627
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021552
PA
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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