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Phyllis Crisostomo Carroll, FNP-C
Family Nurse Practitioner in Novato, California
NPI 1417456351

Phyllis Crisostomo Carroll is a Family Nurse Practitioner based in San Rafael, CA and is specialized in Family. Phyllis Crisostomo Carroll practices in Novato, CA and has the professional credentials of FNP-C. The NPI Number for Phyllis Crisostomo Carroll is 1417456351 and holds a License No. 9008368 (California).

The current practice location address for Phyllis Crisostomo Carroll is 6100 Redwood Blvd, Novato, CA and can be reached out via phone at 415-448-1500.

Location: 6100 Redwood Blvd, Novato, CA, 94903-2441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417456351
Provider Name
Phyllis Crisostomo Carroll
Credential
FNP-C
Provider Entity Type
Individual
Gender
Female
Address
6100 Redwood Blvd, Novato, CA, 94903-2441
Phone Number
415-448-1500
Fax Number
Provider Enumeration Date
02/06/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6100 Redwood Blvd
City
Novato
State
California
Zip
94945-4501
Phone Number
415-448-1500
Fax Number
person
Provider Business Mailing Address Details
Address
6100 Redwood Blvd
City
Novato
State
California
Zip
94945-4501
Phone Number
415-448-1500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
9008368 (California)
Definition
Definition to come...
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