MS. DESIREE JANELL DARRISAW


Address: 680 Tinton Ave Apt 7b, Bronx, NY 10455-2217
Phone: 9179690114

MS. DESIREE JANELL DARRISAW (NPI# 1154947307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154947307
Entity Type Individual
Full Name MS. DESIREE JANELL DARRISAW
Credential CHNP, FNP-BC
Practice Address 680 Tinton Ave Apt 7b
Bronx
NY 10455-2217
Practice Telephone 9179690114
Mailing Telephone 9179690114
Enumeration Date 2020-06-24
Last Update Date 2020-06-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LC1500X Nurse Practitioner
Specialization: Community Health
F320095-01 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 680 TINTON AVE APT 7B
City BRONX
State NY
Zip Code 10455-2217

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Taxonomy Information

Taxonomy Code 363LC1500X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Community Health

Taxonomy Definition

Definition to come...

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Competitor

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City BRONX
Zip Code 10455

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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