Individual
CARISSA TESAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
8303 DODGE ST STE 250, OMAHA, NE 68114-4108
(402) 354-8124
(402) 354-8127
Mailing address
8303 DODGE ST STE 250, OMAHA, NE 68114-4108
(402) 354-8124
(402) 354-8127
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2334
NE
Other
Enumeration date
02/14/2019
Last updated
10/27/2025
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