Maria Ines Carroll
Nurse Practitioner, Primary Care in Riverview, FL. Individual provider (NPI-1).
NPI number1508610700
StatusActive
Last updated in NPPESApr 15, 2024
Details
- NPI
- 1508610700
- Entity type
- Individual (NPI-1)
- Name
- Maria Ines Carroll
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 15, 2024
- Certification date
- Apr 15, 2024
- Last updated
- Apr 15, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 11032128 | FL | Yes |
Practice location
13150 Vail Ridge DrRiverview, FL 33579-7187
Phone 813-374-8883
Mailing address
11303 Callaway Pond DrRiverview, FL 33579-2348
Phone 954-651-3084
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