Individual
DIANE MARIE CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
11709 STATESVILLE BLVD, CLEVELAND, NC 27013-9418
(704) 278-0300
(704) 278-0636
Mailing address
11709 STATESVILLE BLVD, CLEVELAND, NC 27013-9418
(704) 278-0300
(704) 278-0636
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200670
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZF0000156
—
NC
Enumeration date
06/16/2005
Last updated
02/07/2012
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