Provider Demographics
NPI:1275558603
Name:CARO, MARILYNN LORRAINE (NURSE)
Entity Type:Individual
Prefix:
First Name:MARILYNN
Middle Name:LORRAINE
Last Name:CARO
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5102 E PIMA ST
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-3628
Mailing Address - Country:US
Mailing Address - Phone:520-881-3078
Mailing Address - Fax:520-327-6154
Practice Address - Street 1:5102 E PIMA ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3628
Practice Address - Country:US
Practice Address - Phone:520-881-3078
Practice Address - Fax:520-327-6154
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ164W00000X164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse