Individual
KARISSA DANISE ENRIQUEZ DICHOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
31 PHEASANT BROOK CT, BEDMINSTER, NJ 07921-2039
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ15144900
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ15144900
NJ
Other
Enumeration date
07/16/2024
Last updated
09/11/2024
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