Carroll, Mary Katherine
Carroll, Mary Katherine is an individual health care provider with primary practice located at 7990 Arco Corporate Dr , Raleigh NC 27617-2029. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Carroll, Mary Katherine can be contacted via phone (919) 544-5900.Contact Information
Primary practice address
7990 Arco Corporate Dr
Raleigh NC 27617-2029
Phone: (919) 544-5900
Fax: (919) 488-1455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 243193 | Ohio |
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 273642 | North Carolina |
Profile Details
| NPI number | 1750359303 |
|---|---|
| LBN Legal business name | Carroll, Mary Katherine |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Feb 29th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750359303 | NPPES |
| Ohio | MEDICAID | 2119451 |
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