Individual
DARISSA CHERIE NORDMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSA
Contact information
Practice address
201 S LAKELINE BLVD STE 405, CEDAR PARK, TX 78613-2735
(512) 381-4272
(512) 381-4275
Mailing address
201 S LAKELINE BLVD STE 405, CEDAR PARK, TX 78613-2735
(512) 381-4272
(512) 381-4275
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
SA00393
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SA00393
LICENSED SURGICAL ASSISTANT
TX
Enumeration date
04/19/2011
Last updated
04/19/2011
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