Individual
REBECCA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
950 E MOUNTAIN DR, WILKES BARRE, PA 18711-0028
(570) 808-3290
(570) 808-3298
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-9403
(570) 808-3290
(570) 808-3298
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP031157
PA
Other
Enumeration date
11/25/2024
Last updated
08/11/2025
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