| Doctor Name: | DEBRA J CARROLL |
| NPI Number: | 1689621146 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP007611 |
| Business Practice Address: | 211 Telford Pike Telford, PA - 189692251 |
| Business Phone Number: | 2157237833 |
| Business Fax Number: | |
| Mailing Address: | 211 Telford Pike, TELFORD |
| State: | PA |
| Postal Code: | 189692251 |
| Phone Number: | 2157237833 |
| Fax Number: | |
| NPI Enumeration Date: | 05/30/2006 |
| NPI Last Update Date: | 01/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LA2200X |
| License Number: | SP007611 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Adult Health |
| Taxonomy Definition: | |