Individual
CRIS BISSONNETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP, FNP
Contact information
Practice address
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-2139
(510) 841-8484
Mailing address
1749 MARTIN LUTHER KING JR WAY, BERKELEY, CA 94709-2139
(510) 841-8484
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
22761
CA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
22761
CA
Other
Enumeration date
02/05/2013
Last updated
12/15/2022
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