Healthcare Provider Details

I. General information

NPI: 1689554511
Provider Name (Legal Business Name): CARLA AURORA YRIGOLLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2025
Last Update Date: 09/03/2025
Certification Date: 09/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 S 6TH AVE
TUCSON AZ
85723-0001
US

IV. Provider business mailing address

7801 S SENTINAL STONE DR
TUCSON AZ
85756-8324
US

V. Phone/Fax

Practice location:
  • Phone: 520-664-1831
  • Fax:
Mailing address:
  • Phone: 520-275-8782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License NumberRN139241
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: