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Mr. Charles Itoe Misori, CRNP
Family Nurse Practitioner in Dallas, Texas
NPI 1629171293

Charles Itoe Misori is a Family Nurse Practitioner based in Dallas, TX and is specialized in Family. Charles Itoe Misori practices in Dallas, TX and has the professional credentials of CRNP. The NPI Number for Charles Itoe Misori is 1629171293 and holds a License No. 1094507 (Texas).

The current practice location address for Charles Itoe Misori is 2223 S Buckner Blvd, Dallas, TX and can be reached out via phone at 305-266-2929 and via fax at 786-558-0242.

Location: 2223 S Buckner Blvd, Dallas, TX, 75254-8360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629171293
Provider Name
Charles Itoe Misori
Credential
CRNP
Provider Entity Type
Individual
Gender
Male
Address
2223 S Buckner Blvd, Dallas, TX, 75254-8360
Phone Number
305-266-2929
Fax Number
786-558-0242
Provider Enumeration Date
09/07/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
2223 S Buckner Blvd
City
Dallas
State
Texas
Zip
75227-8646
Phone Number
305-266-2929
Fax Number
786-558-0242
person
Provider Business Mailing Address Details
Address
2223 S Buckner Blvd
City
Dallas
State
Texas
Zip
75227-8646
Phone Number
305-266-2929
Fax Number
786-558-0242
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1094507 (Alabama)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
1094507 (Alabama)
Definition
Definition to come...
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