Healthcare Provider Details

I. General information

NPI: 1922942440
Provider Name (Legal Business Name): CAROLINE STANZ RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CAROLINE WEAVER

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

102 N PLUMER AVE
TUCSON AZ
85719-5906
US

IV. Provider business mailing address

6220 E LOBO CT UNIT B
TUCSON AZ
85708-1238
US

V. Phone/Fax

Practice location:
  • Phone: 520-225-3250
  • Fax:
Mailing address:
  • Phone: 716-345-5829
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number313294
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: