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Individual

MARIE CHARISSE IMPE

Active
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Individual

MARIE CHARISSE IMPE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
1026508
TX
207RR0500X
Rheumatology Physician
F11200688
TX
363L00000X
Nurse Practitioner
1026508
TX
363LF0000X
Family Nurse Practitioner
Primary
363L00000X
TX

Other

Enumeration date
01/07/2022
Last updated
03/17/2023
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