Provider Demographics
NPI:1881308823
Name:GO, CAROLINE AGUIRRE (FNP)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:AGUIRRE
Last Name:GO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:MARTINEZ
Other - Last Name:AGUIRRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:23638 NEWHALL AVE STE 6
Mailing Address - Street 2:
Mailing Address - City:NEWHALL
Mailing Address - State:CA
Mailing Address - Zip Code:91321-4234
Mailing Address - Country:US
Mailing Address - Phone:818-323-9431
Mailing Address - Fax:
Practice Address - Street 1:16955 VANOWEN ST
Practice Address - Street 2:
Practice Address - City:VAN NUYS
Practice Address - State:CA
Practice Address - Zip Code:91406-4542
Practice Address - Country:US
Practice Address - Phone:818-343-0700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-12
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95023372363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily