Michele Krauss Carroll, RN

Individual provider Active NPI Registered Nurse · Marriottsville, MD

NPI 1790053346 · NPPES record last updated Dec 11, 2011

Key facts

NPI
1790053346
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
R114804 (MD)
Practice address
1995 Barley Rd
Marriottsville, MD 21104-1121
Phone
(410) 549-4641
NPI assigned
Dec 11, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
R114804MDMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R114804 MD Yes

Addresses

Primary practice location

1995 Barley Rd
Marriottsville, MD 21104-1121

Mailing address

1995 Barley Rd
Marriottsville, MD 21104-1121
Phone (410) 549-4641

Other providers in Marriottsville, MD

All providers in Marriottsville, MD · Registered Nurse in Maryland

Sources for this page

Verify at the official NPI Registry.