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Mary Evelyn Carroll, CNM, RN

Midwife in Bronx, NY. Individual provider (NPI-1).

NPI number1356038152
StatusActive
Last updated in NPPESApr 20, 2023

Details

NPI
1356038152
Entity type
Individual (NPI-1)
Name
Mary Evelyn Carroll
Credential
CNM, RN
Sex
Female
Sole proprietor
No
Enumeration date
Apr 20, 2023
Certification date
Apr 20, 2023
Last updated
Apr 20, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
176B00000X Midwife002214NYYes

Practice location

234 E 149th St
Bronx, NY 10451-5504

Phone 718-579-5000

Mailing address

101 Cherry Rose Trl
Canton, MS 39046-5028

Phone 601-927-0595

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