Provider Demographics
NPI:1588326474
Name:BROCHET, CARISSA E (RN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:CARISSA
Middle Name:E
Last Name:BROCHET
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Gender:F
Credentials:RN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:325 W GERMANTOWN PIKE STE 300
Mailing Address - Street 2:
Mailing Address - City:EAST NORRITON
Mailing Address - State:PA
Mailing Address - Zip Code:19403-4207
Mailing Address - Country:US
Mailing Address - Phone:610-239-8970
Mailing Address - Fax:610-239-8978
Practice Address - Street 1:325 W GERMANTOWN PIKE STE 300
Practice Address - Street 2:
Practice Address - City:EAST NORRITON
Practice Address - State:PA
Practice Address - Zip Code:19403-4207
Practice Address - Country:US
Practice Address - Phone:610-239-8970
Practice Address - Fax:610-239-8978
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP023788363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily