person
Dalton Robert Carroll, FNP-C
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1376115212

Dalton Robert Carroll is a Family Nurse Practitioner based in Bossier City, LA and is specialized in Family. Dalton Robert Carroll practices in Shreveport, LA and has the professional credentials of FNP-C. The NPI Number for Dalton Robert Carroll is 1376115212 and holds a License No. 220441 (Louisiana).

The current practice location address for Dalton Robert Carroll is 8445 Line Ave, Shreveport, LA and can be reached out via phone at 318-703-5655.

Location: 8445 Line Ave, Shreveport, LA, 71111-6277
person
Provider Profile Details
NPI Number
1376115212
Provider Name
Dalton Robert Carroll
Credential
FNP-C
Provider Entity Type
Individual
Gender
Male
Address
8445 Line Ave, Shreveport, LA, 71111-6277
Phone Number
318-703-5655
Fax Number
Provider Enumeration Date
07/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8445 Line Ave
City
State
Zip
71106-5925
Phone Number
318-703-5655
Fax Number
person
Provider Business Mailing Address Details
Address
8445 Line Ave
City
State
Zip
71106-5925
Phone Number
318-703-5655
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
220441 (Louisiana)
Definition
Definition to come...
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