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Individual
MS. MARISSA G CRUZ
Active
Individual
MS. MARISSA G CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60497895
WA
363LA2100X
Acute Care Nurse Practitioner
10030517
OR
363LA2100X
Acute Care Nurse Practitioner
95029705
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61216498
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61216498
WA
Other
Enumeration date
03/07/2015
Last updated
07/27/2026
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