Individual
MR. EUGENIO CAROLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1068 CRESTHAVEN RD, SUITE 150, MEMPHIS, TN 38119-0800
(901) 682-6828
Mailing address
4080 LOCH MEADE DR, LAKELAND, TN 38002-9368
(901) 388-1919
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
8790
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
191848
BETTER HEALTH
TN
05
—
3605424
—
TN
01
—
36832
TLC
TN
01
—
4134153
BLUE CROSS
TN
01
—
9071
OMNI
TN
Enumeration date
04/27/2006
Last updated
10/27/2016
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