CHARISSE L PRALL NP NPI 1699292722

NPI Information

NPI: 1699292722
Provider Name: CHARISSE L PRALL, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845
Phone: (260) 484-8830
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Charisse L Prall, NP is a family nurse practitioner in Fort Wayne, IN. Charisse L Prall, NP NPI is 1699292722. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

11143 PARKVIEW PLAZA DR STE 100
FORT WAYNE, IN
ZIP 46845-728
Phone: (260) 484-8830

The enumeration date for this NPI number is 8/29/2017 and was last updated on 10/24/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		28173869A	INDIANA	No
2	363LF0000X	Nurse Practitioner	Family	71007582A	INDIANA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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