Provider Demographics
NPI:1417227380
Name:ARAIZA, CAROLE ANN (CRNA)
Entity Type:Individual
Prefix:
First Name:CAROLE
Middle Name:ANN
Last Name:ARAIZA
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CAROLE
Other - Middle Name:ANN
Other - Last Name:CARR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1901 RANDOLPH RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28207-1101
Mailing Address - Country:US
Mailing Address - Phone:704-384-4000
Mailing Address - Fax:336-768-9019
Practice Address - Street 1:1901 RANDOLPH RD
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28207-1101
Practice Address - Country:US
Practice Address - Phone:704-384-4000
Practice Address - Fax:336-768-9019
Is Sole Proprietor?:No
Enumeration Date:2012-01-09
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX809433367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered