Individual
DONNA J CARUSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Mailing address
700 E MARSHALL AVE, LONGVIEW, TX 75601-5580
(903) 315-2000
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
725062
TX
363LN0000X
Neonatal Nurse Practitioner
Primary
AP114732
TX
363LN0005X
Critical Care Neonatal Nurse Practitioner
AP114732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725062
LICENSE NUMBER
TX
Enumeration date
06/09/2006
Last updated
12/01/2015
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