| Doctor Name: | MS. CAROLINE SUE STATZULA |
| NPI Number: | 1083895940 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | RN521035 |
| Business Practice Address: | 27512 Calle Arroyo 59b San Juan Capistrano, CA - 926752748 |
| Business Phone Number: | 9492482209 |
| Business Fax Number: | 9492482218 |
| Mailing Address: | 27512 Calle Arroyo, 59b SAN JUAN CAPISTRANO |
| State: | CA |
| Postal Code: | 926752748 |
| Phone Number: | 9492482209 |
| Fax Number: | 9492482218 |
| NPI Enumeration Date: | 11/20/2007 |
| NPI Last Update Date: | 11/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WC1500X |
| License Number: | RN521035 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |