Individual
CARISSA ANN CARISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3810 POTOSI RD, PENSACOLA, FL 32504-4743
(850) 206-4085
Mailing address
3810 POTOSI RD, PENSACOLA, FL 32504-4743
(850) 206-4085
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
RN9330421
FL
363LF0000X
Family Nurse Practitioner
APRN11006797
FL
Other
Enumeration date
05/21/2020
Last updated
05/21/2020
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