Individual provider · Type 1 NPI

Rebecca Carroll, CRNP

Nurse Practitioner · Wilkes Barre, PA

NPI number 1851117758 Active

Practice location

950 E Mountain Dr
Wilkes Barre, PA 18711-0028

Fax (570) 808-3298

Mailing address

100 N Academy Ave
Danville, PA 17822-9403

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XSP031157 (PA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1851117758

Rebecca Carroll, CRNP's National Provider Identifier is 1851117758, issued on Nov 25, 2024. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Wilkes Barre, PA. The record was last updated on Aug 11, 2025.