Provider Demographics
NPI:1548440993
Name:CARUSO, YOLANDA S (RN)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:S
Last Name:CARUSO
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 1:1500 E 15TH ST
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:AZ
Mailing Address - Zip Code:85607-1731
Mailing Address - Country:US
Mailing Address - Phone:520-364-3462
Mailing Address - Fax:520-805-4171
Practice Address - Street 1:1500 E 15TH ST
Practice Address - Street 2:
Practice Address - City:DOUGLAS
Practice Address - State:AZ
Practice Address - Zip Code:85607-1731
Practice Address - Country:US
Practice Address - Phone:520-364-3462
Practice Address - Fax:520-805-4171
Is Sole Proprietor?:No
Enumeration Date:2007-11-13
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN-049086163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool