Individual
KRISTEN MANUSSELIS RISSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
202 NC-54, STE 502, DURHAM, NC 27713-8948
(919) 885-1716
Mailing address
1611 VALLEY RUN, DURHAM, NC 27707-3669
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5013632
NC
Other
Enumeration date
10/13/2021
Last updated
10/13/2021
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