Provider Demographics
NPI:1598038929
Name:RISHER, EYVETTE (RN, BS, MS, FNP)
Entity Type:Individual
Prefix:MS
First Name:EYVETTE
Middle Name:
Last Name:RISHER
Suffix:
Gender:F
Credentials:RN, BS, MS, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 MELODY LN
Mailing Address - Street 2:
Mailing Address - City:AMITYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11701-1637
Mailing Address - Country:US
Mailing Address - Phone:631-334-2033
Mailing Address - Fax:
Practice Address - Street 1:17 MELODY LN
Practice Address - Street 2:
Practice Address - City:AMITYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11701-1637
Practice Address - Country:US
Practice Address - Phone:631-334-2033
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22489674163W00000X
NY335711364SF0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SF0001XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistFamily Health
No163W00000XNursing Service ProvidersRegistered Nurse