ELIZABETH MANCUSO

TYLER, TX
NPI1730729070
Former NameELIZABETH HARDY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: TX  1045851)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: CA  95012932)
Enumeration Date2020-01-15
Last Update Date2024-05-09
Business Address
ELIZABETH MANCUSO NP
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-606-7264
Mailing Address
ELIZABETH MANCUSO NP
800 E DAWSON ST
TYLER, TX 75701-2036
Phone number: 903-606-7264