Individual
MRS. CAROL ETTA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
350 CITY VIEW DR, STE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Mailing address
350 CITY VIEW DR, STE 302, EVANSTON, WY 82930-5327
(307) 789-7915
(307) 789-6009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
19248
WY
Other
Enumeration date
08/18/2009
Last updated
08/18/2009
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