Individual provider · Type 1 NPI
Dalton Robert Carroll, FNP-C
Family Nurse Practitioner · Shreveport, LA
NPI number
1376115212
Active
Practice location
8445 Line Ave
Shreveport, LA 71106-5925
Mailing address
625 Dumaine Dr
Bossier City, LA 71111-6277
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 220441 (LA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1376115212
Dalton Robert Carroll, FNP-C's National Provider Identifier is 1376115212, issued on Jul 12, 2021. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Jul 12, 2021.