Carroll, Carmelia Renee

Carroll, Carmelia Renee is an individual health care provider with primary practice located at 2111 Landmark Cir Nw , Minot ND 58703-1967. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Carroll, Carmelia Renee can be contacted via phone (919) 734-1779.

Contact Information

Primary practice address
2111 Landmark Cir Nw Minot ND 58703-1967
Phone: (919) 734-1779
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X F07151248 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X R47017 North Dakota

Profile Details

NPI number 1871979229
LBN Legal business name Carroll, Carmelia Renee
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2015
Last updated Jan 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871979229 NPPES
North Carolina MEDICAID 1871979229

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