Provider Demographics
NPI:1912878935
Name:CARUSONE, ELIZABETH ASHLEY
Entity type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:ASHLEY
Last Name:CARUSONE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3640 COLONEL GLENN HWY APT 205
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45435-0002
Mailing Address - Country:US
Mailing Address - Phone:937-775-3490
Mailing Address - Fax:937-775-3434
Practice Address - Street 1:3640 COLONEL GLENN HWY APT 205
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45435-0002
Practice Address - Country:US
Practice Address - Phone:937-775-3490
Practice Address - Fax:937-775-3434
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program