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Individual
MARISSA GRACE WARWAR
Active
Individual
MARISSA GRACE WARWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
24373
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q038780
—
TN
Enumeration date
11/18/2015
Last updated
04/08/2022
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