Individual
CHARISSA M BARSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-8382
(707) 263-5019
Mailing address
925 BEVINS CT, LAKEPORT, CA 95453-9754
(707) 263-8382
(707) 263-5019
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209013252
IL
363L00000X
Nurse Practitioner
Primary
95011961
CA
Other
Enumeration date
10/28/2015
Last updated
08/29/2022
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