Individual
MANDY EDWARDS CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
4812 COMMERCIAL DR NW, HUNTSVILLE, AL 35816-2206
(256) 518-9998
Mailing address
4812 COMMERCIAL DR NW, HUNTSVILLE, AL 35816-2206
(256) 518-9998
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-143838
AL
363LF0000X
Family Nurse Practitioner
1-1443838
AL
Other
Enumeration date
05/23/2021
Last updated
05/23/2021
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