Provider Demographics
NPI:1598102816
Name:CARROLL, ANNE OPRE (DNP, NP-C, PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:OPRE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:DNP, NP-C, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 S SPOONER ST UNIT B
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02360-4447
Mailing Address - Country:US
Mailing Address - Phone:617-544-3571
Mailing Address - Fax:508-213-3926
Practice Address - Street 1:4 S SPOONER ST UNIT B
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02360-4447
Practice Address - Country:US
Practice Address - Phone:617-544-3571
Practice Address - Fax:508-213-3926
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-28
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN2258406363L00000X, 363LA2200X
CA95023897363LP0808X
MA2021031341363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health