Individual
MS. CARMELIA RENEE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2111 LANDMARK CIR NW, MINOT, ND 58703-1967
(919) 734-1779
Mailing address
PO BOX 997, BISMARCK, ND 58502-0997
(701) 530-7000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
F07151248
NC
363L00000X
Nurse Practitioner
Primary
R47017
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1871979229
—
NC
Enumeration date
08/08/2015
Last updated
01/02/2019
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