| Doctor Name: | MRS. MEGHAN DIAMANTE RISE |
| NPI Number: | 1003291956 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PMHNP |
| License Number: | 0024172760 |
| Business Practice Address: | 6802 Paragon Pl Suite 410 Richmond, VA - 232301644 |
| Business Phone Number: | 8042774342 |
| Business Fax Number: | |
| Mailing Address: | 2024 Neptune Dr, NORTH CHESTERFIELD |
| State: | VA |
| Postal Code: | 232353612 |
| Phone Number: | 8043501054 |
| Fax Number: | |
| NPI Enumeration Date: | 07/21/2015 |
| NPI Last Update Date: | 07/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP0808X |
| License Number: | 0024172760 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Psych/Mental Health |
| Taxonomy Definition: | |