Individual
MS. CHANTE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AG-ACNP-BC
Contact information
Practice address
312 MARTIN LUTHER KING JR BLVD STE 102, BALTIMORE, MD 21201-1221
(410) 777-8971
(877) 595-7180
Mailing address
1234 PINE HEIGHTS AVE, BALTIMORE, MD 21229-5132
(410) 925-0990
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R191443
MD
Other
Enumeration date
11/29/2022
Last updated
06/02/2025
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