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Individual
MRS. MARISSA CHRISTINE MYRES
Active
Individual
MRS. MARISSA CHRISTINE MYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN,CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.385496
IL
364S00000X
Clinical Nurse Specialist
209.012031
IL
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
209012031
IL
Other
Enumeration date
10/16/2014
Last updated
12/03/2024
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