Individual
MS. CARISSA ABIGAIL MONIQUE LAWRENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM/WHNP-BC
Contact information
Practice address
5225 23RD AVE S, FARGO, ND 58104-7927
(701) 417-2000
Mailing address
5 BAY STATE RD, WORCESTER, MA 01606-2101
(718) 207-0625
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
104421645
MA
367A00000X
Advanced Practice Midwife
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
08/05/2022
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