Individual
KATIE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
736 N 38TH ST UNIT C, PHILADELPHIA, PA 19104-1655
(267) 322-7700
Mailing address
150 BLUFF AVE, NORTH AUGUSTA, SC 29841-3862
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN594050
PA
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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