Provider Demographics
NPI:1376298182
Name:TUTON, CAROLINE ISABELLE (LPN)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:ISABELLE
Last Name:TUTON
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HARVARD ST
Mailing Address - Street 2:
Mailing Address - City:RED HOOK
Mailing Address - State:NY
Mailing Address - Zip Code:12571-1005
Mailing Address - Country:US
Mailing Address - Phone:917-858-1442
Mailing Address - Fax:
Practice Address - Street 1:3 HARVARD ST
Practice Address - Street 2:
Practice Address - City:RED HOOK
Practice Address - State:NY
Practice Address - Zip Code:12571-1005
Practice Address - Country:US
Practice Address - Phone:917-858-1442
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-21
Last Update Date:2022-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY337920164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Single Specialty