Individual provider · Type 1 NPI
Dawnell Carroll
Pediatric Nurse Practitioner · Massapequa, NY
NPI number
1861623696
Active
Practice location
11 Riviera Dr E
Massapequa, NY 11758-8511
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 403603 (NY) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 381956 (NY) |
Pediatric Nurse Practitioner: Definition to come...
Other pediatric nurse practitioner providers in Massapequa
About NPI 1861623696
Dawnell Carroll's National Provider Identifier is 1861623696, issued on Jul 28, 2009. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Massapequa, NY. The record was last updated on Jan 27, 2011.