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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255390381 | NPPES |
| Texas | MEDICAID | 042485506 | |
| Texas | MEDICAID | 042485504 |
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