Provider Demographics
NPI:1841080967
Name:CARO, NATHALIA (FNP-C)
Entity type:Individual
Prefix:
First Name:NATHALIA
Middle Name:
Last Name:CARO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12213 NUGGET AVE
Mailing Address - Street 2:
Mailing Address - City:VICTORVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:92392-7458
Mailing Address - Country:US
Mailing Address - Phone:760-792-7551
Mailing Address - Fax:
Practice Address - Street 1:12213 NUGGET AVE
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92392-7458
Practice Address - Country:US
Practice Address - Phone:760-792-7551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-12
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95035045207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine