Individual provider · Type 1 NPI
Kathleen Leah Carroll, APN
Gerontology Nurse Practitioner · Boerne, TX
NPI number
1477577567
Active
Practice location
113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683
Mailing address
113 Pleasant Valley Dr, Ste 210
Boerne, TX 78006-5683
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 516229 (TX) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | AP115115 (TX) |
Gerontology Nurse Practitioner: Definition to come...
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About NPI 1477577567
Kathleen Leah Carroll, APN's National Provider Identifier is 1477577567, issued on Jul 26, 2006. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Boerne, TX. The record was last updated on Feb 5, 2020.