Individual provider · Type 1 NPI

Kelly Anne Carroll, FNP

Family Nurse Practitioner · Southfield, MI

NPI number 1912728023 Active

Practice location

17330 Northland Park Ct
Southfield, MI 48075-4318

Mailing address

2135 Stonington Ln
Rochester Hills, MI 48306-3164

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X4704305869 (MI)

Family Nurse Practitioner: Definition to come...

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About NPI 1912728023

Kelly Anne Carroll, FNP's National Provider Identifier is 1912728023, issued on Oct 21, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Southfield, MI. The record was last updated on Oct 21, 2024.