MRS. CHARISSE GRICE


Address: 123 Dehnhoff Ave, Freeport, NY 11520-2304
Phone: 6467328683

MRS. CHARISSE GRICE (NPI# 1205448115) 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) 1205448115
Entity Type Individual
Full Name MRS. CHARISSE GRICE
Other Name CHARISSE WALKER
Credential AGPCNP
Practice Address 123 Dehnhoff Ave
Freeport
NY 11520-2304
Practice Telephone 6467328683
Mailing Telephone 6467328683
Enumeration Date 2020-08-21
Last Update Date 2020-08-21
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
309235 NY Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 123 DEHNHOFF AVE
City FREEPORT
State NY
Zip Code 11520-2304

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NPI Name Taxonomy Address Enumeration
1881157154 Barbara Chillemi Registered Nurse 56 Mackay Place, Freeport, NY 11520 2019-04-12
1588171631 Lisa Frank Nurse Practitioner 150 Buffalo Ave, Freeport, NY 11520 2018-01-10
1447775838 Julner Quettant Jr. Physical Therapist 63 St Marks Ave, Freeport, NY 11520 2017-08-07
1679003933 Candice A R Greene Speech-Language Pathologist 12 Summers Place, Freeport, NY 11520 2017-06-19
1700310331 Samantha Edwards Psychologist 6 Delisle Avenue, Freeport, NY 11520 2017-04-20
1275073769 Dorothea Geiger Behavior Technician 90 Hillside Ave, Freeport, NY 11520 2017-03-02
1477092575 Maryhaven Center of Hope,inc Substance Abuse Rehabilitation Facility 150 Buffalo Avenue, Freeport, NY 11520 2017-02-22
1861849135 Daniel Lora Acupuncturist 140 Parsons Ave, Freeport, NY 11520 2016-05-17
1326413790 Beatrice Jeanty Registered Nurse 619 South Long Beach Ave., Freeport, NY 11520 2015-12-10
1134505548 Maria A. Meek Nurse Practitioner 334, West Merrick Rd., Freeport., NY 11520 2015-08-07
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1588171631 Lisa Frank Nurse Practitioner 150 Buffalo Ave, Freeport, NY 11520 2018-01-10
1356706444 Jennifer Marie O'neill Nurse Practitioner 77 W 2nd St, Freeport, NY 11520-5720 2015-12-16
1437556206 Marlena Gallo Nurse Practitioner 155 W Merrick Rd Ste 101, Freeport, NY 11520-3743 2014-11-21
1326308776 Alicia A Tate Nurse Practitioner 119 Jay Street, Freeport, NY 11520 2012-05-19
1629342514 Jean Anne Georges Nurse Practitioner 200 W 2nd St Fl 3, Freeport, TX 77541-5773 2012-02-24
1275847550 Marsha Patrice Drummond Nurse Practitioner 32 Laurette Ln, Freeport, NY 11520-5737 2010-07-29
1689897944 Lisa Carmella Williams Nurse Practitioner 39 Porterfield Pl, Freeport, NY 11520-3340 2007-04-11
1457339202 Maritza Dominguez Nurse Practitioner 101 S Bergen Place, Freeport, NY 11520 2006-01-03
1225552409 Cindy Guzman Nurse Practitioner 55 N Main St, Freeport, NY 11520-2243 2017-07-31
1679023592 Maureen Mohini Kallman Nurse Practitioner 33 N Ocean Ave, Freeport, NY 11520-3049 2016-10-04
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Competitor

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City FREEPORT
Zip Code 11520

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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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