# MRS. MIA MARISSA GUERRERO

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1588198709
- **Gender:** F
- **Credential:** NNP

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LN0000X | Neonatal Nurse Practitioner | AP133643 | TX | Yes |
| 364SN0000X | Neonatal Clinical Nurse Specialist | AP133643 | TX | — |

## Other

- **Enumeration date:** 04/13/2017
- **Last updated:** 09/20/2017