Individual
COURTNY NICOLE CARROLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 MEDICAL PLAZA DR, ROSEVILLE, CA 95661-3037
(916) 781-1000
Mailing address
7139 KAREN RAE CT, CITRUS HEIGHTS, CA 95610-3838
(202) 327-4534
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
95017536
CA
Other
Enumeration date
07/15/2021
Last updated
07/15/2021
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