Provider Demographics
NPI:1194762302
Name:CARUSO-HILL, GEORGIANA (APRN, FNP)
Entity type:Individual
Prefix:MS
First Name:GEORGIANA
Middle Name:
Last Name:CARUSO-HILL
Suffix:
Gender:F
Credentials:APRN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 88
Mailing Address - Street 2:
Mailing Address - City:WOODLAND PARK
Mailing Address - State:CO
Mailing Address - Zip Code:80866-0088
Mailing Address - Country:US
Mailing Address - Phone:303-695-1338
Mailing Address - Fax:719-686-7583
Practice Address - Street 1:45825 HWY 96
Practice Address - Street 2:BUILDING K100
Practice Address - City:PUEBLO
Practice Address - State:CO
Practice Address - Zip Code:81006
Practice Address - Country:US
Practice Address - Phone:719-549-5491
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-31
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO115122163W00000X, 363LF0000X
CO4055363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO57434034Medicaid
CO57434034Medicaid