Individual
CARISSA ARIELLE AINSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
360 E MEDICAL CENTER BLVD STE A, WEBSTER, TX 77598-4321
(832) 932-5669
Mailing address
3111 PALM ISLAND CIR, LEAGUE CITY, TX 77573-5986
(281) 787-6174
Taxonomy
Speciality
Code
Description
License number
State
261QI0500X
Infusion Therapy Clinic/Center
F05190775
TX
363LF0000X
Family Nurse Practitioner
Primary
AP142585
TX
Other
Enumeration date
11/17/2019
Last updated
05/24/2023
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