Individual
CARISSA MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2529 S 1ST ST, AUSTIN, TX 78704-5466
(512) 978-9500
(512) 901-9708
Mailing address
2529 S 1ST ST, AUSTIN, TX 78704-5466
(512) 978-9500
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP132633
TX
Other
Enumeration date
11/29/2016
Last updated
03/08/2019
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