| Mr James Earl Carroll, CRNA, APNP | |
|
711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615-9108 | |
| (715) 284-5361 | |
| (715) 284-7166 |
| Full Name | Mr James Earl Carroll |
|---|---|
| Gender | Male |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 711 W Adams St, Black River Falls, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740209469 | NPI | - | NPPES |
| 29802 | Other | AANA CERTIFICATION NUMBER | |
| 43376100 | Medicaid | WI | |
| R085903 | Other | MN | RN LICENSE NUMBER |
| 0005 | Other | WI | SEQUENCE NUMBER |
| 66410 | Other | WI | RN LICENSE NUMBER |
| 1161 | Other | WI | APNP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 66410 (Wisconsin) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | R085903 (Minnesota) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr James Earl Carroll, CRNA, APNP 1383 Skyline Drive, Winona, MN 55987-5475 Ph: (715) 284-8924 | Mr James Earl Carroll, CRNA, APNP 711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615-9108 Ph: (715) 284-5361 |
Ms. Mary Clare Nordahl, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-7166 | |
Edward Zhovtis, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 711 W Adams St, Black River Falls, WI 54615 Phone: 715-284-5361 Fax: 715-284-3684 |