Rivers, Charisse Lenell

Rivers, Charisse Lenell is an individual health care provider with primary practice located at 9991 Marsh Ln , Dallas TX 75220-1766. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Rivers, Charisse Lenell can be contacted via phone (214) 358-0090.

Contact Information

Primary practice address
9991 Marsh Ln Dallas TX 75220-1766
Phone: (214) 358-0090
Fax: (214) 358-0760
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 522465 Texas

Profile Details

NPI number 1255390381
LBN Legal business name Rivers, Charisse Lenell
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2006
Last updated Nov 23rd, 2015 - about 9 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 1255390381 NPPES
Texas MEDICAID 042485506
Texas MEDICAID 042485504

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