=====================================================
General NPI Number Information
=====================================================
NPI Number | 1760012207
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LESLIE WILLIAMS CARUSO FNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/23/2020
-----------------------------------------------------
Last Update Date | 01/22/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 16158 AIRLINE HWY STE 103
-----------------------------------------------------
City | PRAIRIEVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70769-4222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-963-9355
-----------------------------------------------------
Fax | 225-314-9355
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16158 AIRLINE HWY STE 103
-----------------------------------------------------
City | PRAIRIEVILLE
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 70769-4222
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 225-963-9355
-----------------------------------------------------
Fax | 225-314-9355
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 211610
-----------------------------------------------------
License Number State | LA
-----------------------------------------------------