Morrell, Carol

Morrell, Carol is an individual health care provider with primary practice located at 1960 N Date St , T Or C NM 87901-3701. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Morrell, Carol can be contacted via phone (575) 894-7662.

Contact Information

Primary practice address
1960 N Date St T Or C NM 87901-3701
Phone: (575) 894-7662
Fax: (575) 894-7930
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2002-0033 New Mexico

Profile Details

NPI number 1437142429
LBN Legal business name Morrell, Carol
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Aug 1st, 2011 - about 14 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 1437142429 NPPES
New Mexico MEDICAID 19954875

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