Individual provider · Type 1 NPI

Elizabeth Mancuso, NP

Nurse Practitioner · Tyler, TX

NPI number 1730729070 Active

Practice location

800 E Dawson St
Tyler, TX 75701-2036

Fax (903) 525-1254

Other practice locations

  • 388 Wool Ct, Benicia, CA 94510-3960 · (707) 712-7508
  • 910 E Houston St Ste 330, Tyler, TX 75702-8368 · (903) 606-7995

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1045851 (TX)
Family Nurse Practitioner 363LF0000X95012932 (CA)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1730729070

Elizabeth Mancuso, NP's National Provider Identifier is 1730729070, issued on Jan 15, 2020. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Tyler, TX. The record was last updated on May 9, 2024.