Individual
MS. CARMEN M CAROLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Mailing address
262 DANNY THOMAS PL, MEMPHIS, TN 38105-3678
(901) 595-3006
(901) 595-3842
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
39246
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
8844
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00126559
—
MS
05
—
100849890A
—
OK
05
—
5440764
—
TN
05
—
8949310
—
VA
05
—
915785208
—
MO
05
—
QAN019
—
SC
Enumeration date
04/05/2006
Last updated
03/29/2011
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