Wanda Carroll is a Specialist in Severna Park, Maryland. Wanda Carroll practices all healthcare services and medical treatments related to Specialist. The NPI Number for Wanda Carroll is 1356566731. The last update date is 2015-06-09.
Wanda Carroll's current location address is 839 Cottonwood Dr, Severna Park, Maryland. You can contact this provider via phone number 4439862959. The mailing address for Wanda Carroll is 839 Cottonwood Dr, Severna Park, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wanda Carroll |
|---|---|
| Address | 839 Cottonwood Dr, Severna Park, Maryland |
| Phone Number | 4439862959 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PTA, LMT, |
NPI Number Detail
| NPI Number | 1356566731 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2015-06-09 |
Provider Mailing Address Detail
| Address | 839 Cottonwood Dr |
|---|---|
| City | Severna Park |
| State | Maryland (MD) |
| Post Code | 211462836 |
| Phone Number | 4439862959 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | M00487 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Wanda Carroll by the Centers for Medicare & Medicaid Services?
The Wanda Carroll has been issued the NPI (National Provider Identifier) 1356566731 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Wanda Carroll is geographically located?
The Wanda Carroll is physically situated at the following location: 839 Cottonwood Dr, Severna Park, MD, 211462836.
What is Wanda Carroll's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Wanda Carroll is Specialist, and the taxonomy classification code that categorizes this area of expertise is 174400000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1356566731 to Wanda Carroll?
The Centers for Medicare & Medicaid Services originally issued the 1356566731 to Wanda Carroll on 2007-04-13.
When was the information related to Wanda Carroll most recently updated or refreshed?
The details pertaining to the Wanda Carroll, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-06-09.
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