Provider Demographics
NPI:1588343917
Name:COX, CARISA MARIE (MSN, NP-C)
Entity type:Individual
Prefix:
First Name:CARISA
Middle Name:MARIE
Last Name:COX
Suffix:
Gender:F
Credentials:MSN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:926 E E ST STE 100
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-6617
Mailing Address - Country:US
Mailing Address - Phone:402-303-8802
Mailing Address - Fax:402-487-0599
Practice Address - Street 1:926 E E
Practice Address - Street 2:STE 100
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-6617
Practice Address - Country:US
Practice Address - Phone:402-303-8802
Practice Address - Fax:402-487-0599
Is Sole Proprietor?:No
Enumeration Date:2023-07-13
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE114884363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily