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Individual
AMY KATHLEEN CARUSO
Active
Individual
AMY KATHLEEN CARUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704154413
MI
363LN0000X
Neonatal Nurse Practitioner
Primary
4704154413
MI
364SN0000X
Neonatal Clinical Nurse Specialist
4704154413
MI
Other
Enumeration date
12/04/2013
Last updated
12/06/2016
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