Provider Demographics
NPI:1881843571
Name:CARON C. SLUSSER APRN, LLC
Entity Type:Organization
Organization Name:CARON C. SLUSSER APRN, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:CARON
Authorized Official - Middle Name:C
Authorized Official - Last Name:SLUSSER
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:985-875-7660
Mailing Address - Street 1:208 HIGHLAND PARK PLZ
Mailing Address - Street 2:SUITE 208
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-7129
Mailing Address - Country:US
Mailing Address - Phone:985-875-7660
Mailing Address - Fax:985-875-7441
Practice Address - Street 1:208 HIGHLAND PARK PLZ
Practice Address - Street 2:SUITE 208
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-7129
Practice Address - Country:US
Practice Address - Phone:985-875-7660
Practice Address - Fax:985-875-7441
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-17
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN068554 AP05073364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty