Provider Demographics
NPI:1811144744
Name:SLUSSER, CARON (APRN)
Entity type:Individual
Prefix:
First Name:CARON
Middle Name:
Last Name:SLUSSER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LARN068554 AP05073364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult