Individual
WENDI CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-8300
(860) 679-4256
Mailing address
263 FARMINGTON AVE, FARMINGTON, CT 06030-8082
(860) 679-8300
(860) 679-4256
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
003144
CT
363LA2100X
Acute Care Nurse Practitioner
Primary
003144
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003144
LICENSE
CT
Enumeration date
09/12/2006
Last updated
07/08/2022
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