Denenberg, Risa

Denenberg, Risa is an sole proprietor health care provider with primary practice located at 4905 108Th St Sw , Lakewood WA 98499-3724. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Denenberg, Risa can be contacted via phone (253) 581-3075.

Contact Information

Primary practice address
4905 108Th St Sw Lakewood WA 98499-3724
Fax: (253) 581-3178
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN60029600 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60030791 Washington
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SPOO8438 Pennsylvania

Profile Details

NPI number 1306904990
LBN Legal business name Denenberg, Risa
Credentials ARNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 5th, 2006
Last updated Nov 23rd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306904990 NPPES
Washington MEDICAID 1306904990

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