Provider Demographics
NPI:1457928137
Name:MCCARROLL, NATOSHA (CBD, CPD)
Entity Type:Individual
Prefix:MRS
First Name:NATOSHA
Middle Name:
Last Name:MCCARROLL
Suffix:
Gender:F
Credentials:CBD, CPD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3804
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-0804
Mailing Address - Country:US
Mailing Address - Phone:615-375-6148
Mailing Address - Fax:
Practice Address - Street 1:1284 HILLWOOD DR
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040-4706
Practice Address - Country:US
Practice Address - Phone:615-375-6148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula