Mr James Earl Carroll, CRNA, APNP | |
711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615-9108 | |
(715) 284-5361 | |
(715) 284-7166 |
Full Name | Mr James Earl Carroll |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 711 W Adams St, Black River Falls, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740209469 | NPI | - | NPPES |
29802 | Other | AANA CERTIFICATION NUMBER | |
43376100 | Medicaid | WI | |
R085903 | Other | MN | RN LICENSE NUMBER |
0005 | Other | WI | SEQUENCE NUMBER |
66410 | Other | WI | RN LICENSE NUMBER |
1161 | Other | WI | APNP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 66410 (Wisconsin) | Primary |
367500000X | Nurse Anesthetist, Certified Registered | R085903 (Minnesota) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr James Earl Carroll, CRNA, APNP 1383 Skyline Drive, Winona, MN 55987-5475 Ph: (715) 284-8924 | Mr James Earl Carroll, CRNA, APNP 711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615-9108 Ph: (715) 284-5361 |
Ms. Mary Clare Nordahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-7166 |