Individual
CHARISSE FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
5401 S CONGRESS AVE STE 204, ATLANTIS, FL 33462-6637
(561) 967-4118
Mailing address
5952 BUTTONBUSH DR, WESTLAKE, FL 33470-6500
(561) 506-8335
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11006132
FL
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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