MEDICARE: CARISSA NAUMAN RN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	28286856A	IN

General Provider Information

NPI Number	:	1386502334
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARISSA NAUMAN RN

Provider Business Mailing Address
First Line	:	5444 W SHERWOOD DR
Second Line	:
City	:	NEWBURGH
State	:	IN
Zip	:	47630-3192
Country	:	US
Telephone Number	:	812-243-0690
Fax Number	:

Provider Business Practice Location Address
First Line	:	4011 GATEWAY BLVD
Second Line	:
City	:	NEWBURGH
State	:	IN
Zip	:	47630-8947
Country	:	US
Telephone Number	:	812-842-2000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2026
Last Update Date	:	01/09/2026

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