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Individual

MRS. CARISSA MARIE WEBBER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
24855 XEON ST NW, ISANTI, MN 55040-4428
(952) 225-9715
Mailing address
24855 XEON ST NW, ISANTI, MN 55040-4428
(952) 225-9715

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9352441
FL
163WC1500X
Community Health Registered Nurse
Primary
2540084
MN

Other

Enumeration date
03/04/2013
Last updated
03/05/2026
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