Healthcare Provider Details

I. General information

NPI: 1528931763
Provider Name (Legal Business Name): YULIET CARRASCO RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2025
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3015 MEDLIN DR STE 100
ARLINGTON TX
76015-2360
US

IV. Provider business mailing address

3015 MEDLIN DR STE 100
ARLINGTON TX
76015-2360
US

V. Phone/Fax

Practice location:
  • Phone: 813-952-0307
  • Fax: 682-267-0842
Mailing address:
  • Phone: 682-267-0843
  • Fax: 682-267-0842

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number1122476
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code163WN1003X
TaxonomyNutrition Support Registered Nurse
License Number1122476
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number1122476
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number1122476
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code163WP2201X
TaxonomyAmbulatory Care Registered Nurse
License Number1122476
License Number StateTX
# 6
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1122476
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: