Individual provider · Type 1 NPI

Larry J. Carroll, CRNA, APN

Registered Nurse · Effingham, IL

NPI number 1336258045 Active

Practice location

904 W Temple Ave
Effingham, IL 62401-2178

Mailing address

2630 E Fork Dr
Vandalia, IL 62471-3818

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000XNone listed
Certified Registered Nurse Anesthetist 367500000XNone listed

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1336258045

Larry J. Carroll, CRNA, APN's National Provider Identifier is 1336258045, issued on Aug 29, 2006. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Effingham, IL. The record was last updated on Sep 11, 2025.