Most Relevant Information
Provider Data
| NPI Number: | 1003362682 |
| Provider Name: | MICHELLE RISING NP |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 340954 |
Most Important Dates
| Enumeration Date: | 09/01/2016 |
| Last Updated: | 09/01/2016 |
Provider Practice Location
54 MAIN ST
CANDOR
NY
137431617
Practice Location Phone/Fax
| Phone: | 6076597272 |
| Fax: |
Provider Mailing Location
33 LEWIS RD
2ND FLOOR
BINGHAMTON
NY
139051048
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |