Brenda Lee Carroll, RN

Individual provider Active NPI Registered Nurse · Morning View, KY

NPI 1851493779 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1851493779
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.301641 (OH)
Practice address
3448 Visalia Rd
Morning View, KY 41063-8731
Phone
(859) 356-3831
Fax
(859) 356-3831
NPI assigned
Sep 1, 2006
Sex
Female
Sole proprietor
Yes

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
RN.301641OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.301641 OH Yes

Addresses

Primary practice location

3448 Visalia Rd
Morning View, KY 41063-8731

Mailing address

3448 Visalia Rd
Morning View, KY 41063-8731
Phone (859) 356-3831

Other providers in Morning View, KY

All providers in Morning View, KY · Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.