Individual
SANDRA CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
(608) 643-3311
Mailing address
260 26TH ST, PRAIRIE DU SAC, WI 53578-2203
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
14072-33
WI
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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