Provider Demographics
NPI:1760373054
Name:CARROLL, KAREN DENISE (RN)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:DENISE
Last Name:CARROLL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2950 S SERVICE RD APT 3628
Mailing Address - Street 2:
Mailing Address - City:MOORE
Mailing Address - State:OK
Mailing Address - Zip Code:73160-5627
Mailing Address - Country:US
Mailing Address - Phone:405-361-3506
Mailing Address - Fax:
Practice Address - Street 1:2950 S SERVICE RD APT 3628
Practice Address - Street 2:
Practice Address - City:MOORE
Practice Address - State:OK
Practice Address - Zip Code:73160-5627
Practice Address - Country:US
Practice Address - Phone:405-361-3506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-14
Last Update Date:2025-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY281001163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse