Provider Demographics
NPI:1477889988
Name:RISBERG, JANET CLAIRE (ARNP)
Entity Type:Individual
Prefix:MISS
First Name:JANET
Middle Name:CLAIRE
Last Name:RISBERG
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3050 REGENT BLVD
Mailing Address - Street 2:STE 400
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-3196
Mailing Address - Country:US
Mailing Address - Phone:214-689-8068
Mailing Address - Fax:866-770-0475
Practice Address - Street 1:3050 REGENT BLVD
Practice Address - Street 2:STE 400
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75063-3196
Practice Address - Country:US
Practice Address - Phone:214-689-8068
Practice Address - Fax:866-770-0475
Is Sole Proprietor?:No
Enumeration Date:2009-10-19
Last Update Date:2009-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL876552363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health