Provider Demographics
NPI:1780858779
Name:GATUA, CAROLINE W (RN)
Entity Type:Individual
Prefix:MISS
First Name:CAROLINE
Middle Name:W
Last Name:GATUA
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 1:2801 FOUNDERS WAY
Mailing Address - Street 2:
Mailing Address - City:SAUGUS
Mailing Address - State:MA
Mailing Address - Zip Code:01906-4548
Mailing Address - Country:US
Mailing Address - Phone:781-308-2374
Mailing Address - Fax:
Practice Address - Street 1:2801 FOUNDERS WAY
Practice Address - Street 2:
Practice Address - City:SAUGUS
Practice Address - State:MA
Practice Address - Zip Code:01906-4548
Practice Address - Country:US
Practice Address - Phone:781-308-2374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-21
Last Update Date:2008-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA266150163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse