Provider Demographics
NPI:1457249443
Name:MAUS, CAROLINE (CPNP-PC)
Entity type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:
Last Name:MAUS
Suffix:
Gender:F
Credentials:CPNP-PC
Other - Prefix:
Other - First Name:CAROLINE
Other - Middle Name:
Other - Last Name:MOSIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9999 CARVER RD STE 145
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5584
Mailing Address - Country:US
Mailing Address - Phone:800-359-0199
Mailing Address - Fax:
Practice Address - Street 1:9999 CARVER RD STE 145
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-5584
Practice Address - Country:US
Practice Address - Phone:800-359-0199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-26
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704313809163W00000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163W00000XNursing Service ProvidersRegistered Nurse