Individual
KIMBERLI LOUISE CARROLL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, NNP
Contact information
Practice address
975 PORT WASHINGTON RD, NICU, GRAFTON, WI 53024-9201
(262) 329-4900
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 389-2152
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1896-33
WI
363LN0000X
Neonatal Nurse Practitioner
130979-030
WI
363LN0000X
Neonatal Nurse Practitioner
1896-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100026057
—
WI
Enumeration date
10/30/2008
Last updated
11/30/2021
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