Individual
CHARISSA M PRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(404) 991-4198
Mailing address
30 HUNTER LN, CAMP HILL, PA 17011-2499
(404) 991-4198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN60081217
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09191983
—
WA
Enumeration date
10/19/2021
Last updated
10/19/2021
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