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NPI Code Detail

MEDICARE: ALEXANDRIA CARROLL

MEDICARE: ALEXANDRIA CARROLL
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 PractitionerAPRN.CNP.0041630OH

General Provider Information

NPI Number : 1912852930
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXANDRIA CARROLL
Provider Business Mailing Address
First Line : 1111 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-3323
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1111 HAYES AVE
Second Line :
City : SANDUSKY
State : OH
Zip : 44870-3323
Country : US
Telephone Number : 419-557-7400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “ ALEXANDRIA CARROLL ” Practice Location

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