MANDY EDWARDS CARUSO CRNP
NPI 1295300275
Nurse Practitioner - Family in Huntsville, AL
Active since May 23, 2021
About Mandy Edwards Caruso Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANDY EDWARDS CARUSO CRNP (NPI 1295300275) is an individual family provider in Huntsville, Alabama, licensed in Alabama (1-143838) and active in the NPI registry since May 2021. She maintains a secondary practice location in Huntsville.
NPPES Registry Identity
NPI1295300275
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMANDY EDWARDS CARUSOCredential: CRNP
Location Address4812 COMMERCIAL DR NWHuntsville, AL 35816-2206
Mailing Address4812 Commercial Dr NwHuntsville, AL 35816-2206 · (256) 518-9998
Phone(256) 518-9998
Sole ProprietorNo
Enumeration DateMay 23, 2021
NPPES CertifiedMay 23, 2021
✔ NPI 1295300275 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in AL · 1-143838✔ Licensed in AL · 1-1443838
4812 COMMERCIAL DR NW, Huntsville, AL 35816
Secondary Practice Location 1
Location 14601 Whitesburg Dr SE Ste 103Huntsville, AL 35802-1677 · Phone (256) 715-8193
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1295300275, enumerated as an "individual" on May 23, 2021.
The provider is located at 4812 COMMERCIAL DR NW HUNTSVILLE, AL 35816 and the phone number is (256) 518-9998.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
