Machold, Carolyn Marie

Machold, Carolyn Marie is an individual health care provider with primary practice located at 1140 E Calle Mariposa , Tucson AZ 85718-2952. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Nursing Service Providers / Medical-Surgical, Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical is her primary health care specialty. Machold, Carolyn Marie can be contacted via phone (520) 318-6039.

Contact Information

Primary practice address
1140 E Calle Mariposa Tucson AZ 85718-2952
Phone: (520) 318-6039
Fax: (520) 320-0081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 042232 Arizona
Nursing Service Providers / Medical-Surgical 163WM0705X RN040651 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Medical-Surgical 364SM0705X 026 Arizona

Profile Details

NPI number 1790885507
LBN Legal business name Machold, Carolyn Marie
Credentials CNS,CRNFA,RNFA
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated May 3rd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790885507 NPPES
Arizona MEDICAID 184995
Arizona Other Z60126

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