Individual
MS. MARY KATHERINE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
7990 ARCO CORPORATE DR, RALEIGH, NC 27617-2029
(919) 544-5900
(919) 488-1455
Mailing address
260 HORIZON DR, RALEIGH, NC 27615-4922
(919) 488-0015
(919) 277-0066
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
243193
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
273642
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2119451
—
OH
Enumeration date
03/09/2006
Last updated
02/29/2016
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