Provider Demographics
NPI:1922532266
Name:CARLINO, TRICIA (RN)
Entity Type:Individual
Prefix:
First Name:TRICIA
Middle Name:
Last Name:CARLINO
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 1:3836 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-2112
Mailing Address - Country:US
Mailing Address - Phone:609-827-6182
Mailing Address - Fax:
Practice Address - Street 1:226 SEMANSKI ST
Practice Address - Street 2:
Practice Address - City:ENUMCLAW
Practice Address - State:WA
Practice Address - Zip Code:98022-2009
Practice Address - Country:US
Practice Address - Phone:609-827-6182
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-13
Last Update Date:2017-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60554593163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse