Individual
MRS. CAROLYN MARIE MACHOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS,CRNFA,RNFA
Contact information
Practice address
1140 E CALLE MARIPOSA, TUCSON, AZ 85718-2952
(520) 318-6039
(520) 320-0081
Mailing address
PO BOX 42123, TUCSON, AZ 85733-2123
(520) 318-6039
(520) 320-0081
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
RN040651
AZ
174400000X
Specialist
042232
AZ
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
026
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
184995
—
AZ
01
—
Z60126
MEDICAREPTAN
AZ
Enumeration date
09/22/2006
Last updated
05/03/2013
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