Individual
GREGORY CARROLL
Active
Individual
GREGORY CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
202202369RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10050911
OR
Other
Enumeration date
09/26/2022
Last updated
11/24/2025
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