JOHANNA DERISCA

NEW YORK, NY
NPI1205639895
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LA2100X Nurse Practitioner, Acute Care
(Licence: NY  432908)
Enumeration Date2025-03-29
Last Update Date2025-03-29
Business Address
JOHANNA DERISCA
506 LENOX AVE
NEW YORK, NY 10037-1802
Phone number: 844-692-4692
Mailing Address
JOHANNA DERISCA
506 LENOX AVE
NEW YORK, NY 10037-1802
Phone number: