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NPI Code Detail

MEDICARE: SHERYL FISHMAN CARROLL FNP-C

MEDICARE: SHERYL FISHMAN CARROLL FNP-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerAP107648TX

General Provider Information

NPI Number : 1154452258
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHERYL FISHMAN CARROLL FNP-C
Provider Business Mailing Address
First Line : 1101 CAMINO LA COSTA
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3930
Country : US
Telephone Number : 512-684-1832
Fax Number :
Provider Business Practice Location Address
First Line : 1101 CAMINO LA COSTA
Second Line :
City : AUSTIN
State : TX
Zip : 78752-3930
Country : US
Telephone Number : 512-478-4939
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/21/2022

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Directions to “ SHERYL FISHMAN CARROLL FNP-C” Practice Location

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