MRS. Angelique Irene Carroll

NPI #1104273317 in Independence, Missouri

Provider Information

NPI Number
1104273317
Entity Type
Individual
Name
MRS. Angelique Irene Carroll
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
May 17, 2016
Last Updated
Sep 12, 2016

Practice Location

Address
19600 E 39TH ST S
ZIP Code
64057-2301
Phone
(913) 428-2900

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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