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Individual
MARISSA P FORREST
Active
Individual
MARISSA P FORREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APRN.CNP.00108
OH
363LP0200X
Pediatric Nurse Practitioner
APRN.CNP.00108
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2023714
—
OH
Enumeration date
05/05/2006
Last updated
03/22/2017
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