Individual
KARISSA SUSAN REISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4101 WOOLWORTH AVE STE 4199, OMAHA, NE 68105-1850
(800) 451-5796
Mailing address
19508 LACI ST, OMAHA, NE 68135-4266
(402) 340-1631
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
113334
NE
363L00000X
Nurse Practitioner
Primary
113336
NE
Other
Enumeration date
01/18/2021
Last updated
06/11/2021
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