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NPI Code Detail

MEDICARE: ISABELLA CARUSO

MEDICARE:   ISABELLA  CARUSO
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
1363LF0000XFamily Nurse PractitionerRNP326263AZ

General Provider Information

NPI Number : 1215826888
Entity Type Code : Individual
Provider Name (Legal Business Name) : ISABELLA CARUSO
Provider Business Mailing Address
First Line : 824 S SAN FRANCISCO ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86011-0001
Country : US
Telephone Number : 928-523-2131
Fax Number :
Provider Business Practice Location Address
First Line : 824 S SAN FRANCISCO ST
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86011-0001
Country : US
Telephone Number : 928-523-2131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2025
Last Update Date : 12/02/2025

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Directions to “ ISABELLA CARUSO ” Practice Location

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