Individual
ALISHA R RISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
810 JAMESTOWN ST, COLUMBIA, KY 42728-1010
(703) 844-7642
(270) 384-2828
Mailing address
1301 N RACE ST, GLASGOW, KY 42141-3454
(270) 651-4444
(270) 651-4892
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3010666
KY
364SP0807X
Child & Adolescent Psychiatric/Mental Health Clinical Nurse Specialist
3010666
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100436680
—
KY
Enumeration date
08/24/2016
Last updated
03/02/2023
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