Tisma, Chrismarthe
Tisma, Chrismarthe is an individual health care provider with primary practice located at 12411 Nw Mcgregor Ln , Port St Lucie FL 34987-3056. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Related Providers / Home Health Aide, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Tisma, Chrismarthe can be contacted via phone (561) 541-7972.Contact Information
Primary practice address
12411 Nw Mcgregor Ln
Port St Lucie FL 34987-3056
Phone: (561) 541-7972
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Nursing Service Related Providers / Home Health Aide | 374U00000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner | 225400000X |
Profile Details
| NPI number | 1326778333 |
|---|---|
| LBN Legal business name | Tisma, Chrismarthe |
| Credentials | RN, LNC, CFN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2022 |
| Last updated | Jun 13th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326778333 | NPPES |
| Florida | MEDICAID | 881383517 |
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