Provider Demographics
NPI:1083852396
Name:TUGGLES-WILSON, CAFINA (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAFINA
Middle Name:
Last Name:TUGGLES-WILSON
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 1:16 WEATHERWOOD LANE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-3740
Mailing Address - Country:US
Mailing Address - Phone:585-261-0404
Mailing Address - Fax:
Practice Address - Street 1:16 WEATHERWOOD LANE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-3740
Practice Address - Country:US
Practice Address - Phone:585-261-0404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-23
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY685103-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse