Individual
MR. TIMOTHY MARTIN CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP-BC
Contact information
Practice address
300 STATE ST FL 4, ERIE, PA 16507-1427
(814) 877-5330
(814) 877-5331
Mailing address
300 STATE ST FL 4, ERIE, PA 16507-1427
(814) 877-5330
(814) 877-5331
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
SP021146
PA
Other
Enumeration date
01/15/2020
Last updated
10/28/2021
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