Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Letheda Carroll

Individual provider Registered Nurse · NPI 1881122299

Letheda Carroll is a Registered Nurse in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1216 Bay St
Staten Island, NY 10305-3169
Phone: (718) 982-4779
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 734980 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 278773 (NY)

Record details

NPI number1881122299
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 30, 2017
Last updated in NPPESNovember 21, 2024
Certification dateNovember 21, 2024

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