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Joanna Kerene Derisse
Student in an Organized Health Care Education/Training Program in Wappingers Falls, New York
NPI 1316603434

Joanna Kerene Derisse is a Student in an Organized Health Care Education/Training Program based in Poughkeepsie, NY. Joanna Kerene Derisse practices in Wappingers Falls, NY. The NPI Number for Joanna Kerene Derisse is 1316603434 and holds a License No. (New York).

The current practice location address for Joanna Kerene Derisse is 167 Myers Corners Rd Ste 104, Wappingers Falls, NY and can be reached out via phone at 845-298-2090. You can also correspond with Joanna Kerene Derisse through the mailing address at 18 ANTHONY DR APT A202, POUGHKEEPSIE, NY - 12601-5534 (mailing address contact number: ).

Location: 167 Myers Corners Rd Ste 104, Wappingers Falls, NY, 12601-5534
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316603434
Provider Name
Joanna Kerene Derisse
Credential
Provider Entity Type
Individual
Gender
Female
Address
167 Myers Corners Rd Ste 104, Wappingers Falls, NY, 12601-5534
Phone Number
845-298-2090
Fax Number
Provider Enumeration Date
11/12/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
167 Myers Corners Rd Ste 104
City
Wappingers Falls
State
New York
Zip
12590-3870
Phone Number
845-298-2090
Fax Number
person
Provider Business Mailing Address Details
Address
167 Myers Corners Rd Ste 104
City
Wappingers Falls
State
New York
Zip
12590-3870
Phone Number
845-298-2090
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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