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Individual
MARISSA ROBERTS
Active
Individual
MARISSA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3009938
KY
363L00000X
Nurse Practitioner
ARNP9451478
FL
363LF0000X
Family Nurse Practitioner
Primary
ARNP9451478
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019898000
—
FL
Enumeration date
12/16/2015
Last updated
01/28/2024
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