Individual
CARISSA MOWERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
40 PRINCE ST APT 3A, NEW YORK, NY 10012-3474
(267) 991-2206
Mailing address
40 PRINCE ST APT 3A, NEW YORK, NY 10012-3474
(267) 991-2206
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
F311003-01
NY
Other
Enumeration date
01/27/2023
Last updated
01/27/2023
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