Individual
DESIREE JANELL DARRISAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHNP, FNP-BC
Contact information
Practice address
161 FORT WASHINGTON AVE, NEW YORK, NY 10032-3729
(212) 305-3408
(212) 305-4085
Mailing address
680 TINTON AVE APT 7B, BRONX, NY 10455-2217
(917) 969-0114
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
320095
NY
363LF0000X
Family Nurse Practitioner
320095
NY
Other
Enumeration date
06/24/2020
Last updated
08/13/2024
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