| NPI | 1972371896 |
|---|---|
| Doing Business As | CAROUSEL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | CARLISA JANE PHILLIPS Pediatric Nurse Practitioner 918-851-8424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |