Provider Demographics
NPI:1033883111
Name:NALUNGA, CAROLINE (RN BSN)
Entity Type:Individual
Prefix:
First Name:CAROLINE
Middle Name:
Last Name:NALUNGA
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 SHORE DR
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-2029
Mailing Address - Country:US
Mailing Address - Phone:978-328-2916
Mailing Address - Fax:
Practice Address - Street 1:57 SHORE DR
Practice Address - Street 2:
Practice Address - City:DRACUT
Practice Address - State:MA
Practice Address - Zip Code:01826-2029
Practice Address - Country:US
Practice Address - Phone:978-328-2916
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-03
Last Update Date:2021-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSRN2300569163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse