Alice Carroll

NPI 1780086603 - Registered Nurse - 163W00000X

NPI Details
NPI 1780086603
Gender Female
Enumeration Date 09/23/2014
Last Updated 09/23/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
2428 W REYNOLDS AVE
CENTRALIA WA, 98531-4554, US
Phone (360) 330-9444
Fax (360) 623-1117
Business Location
3106 VISTA VERDE LN SW
OLYMPIA WA, 98512-1448, US
Phone (406) 370-0616
Fax
Toxanomy
Taxonomy Code 163W00000X
License State Washington
License Number RN00163862
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According to our database, Ms. Alice Carroll NPI is 1780086603, taxonomy code is 163W00000X and license number is RN00163862, license state is located at Washington. Alice Carroll physically located at 2428 W Reynolds Ave, Centralia WA, 98531-4554. NPI Number Alice Carroll has the Individual type.

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1780086603 NPI number is provided on an as is basis without warranty of any kind. 1780086603 is maintained by the National Plan & Provider Enumeration System. The contents of Alice Carroll are for informational purposes only.