Individual
MARISSA WAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MSN
Contact information
Practice address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
(415) 476-9000
Mailing address
505 PARNASSUS AVE, SAN FRANCISCO, CA 94143-2204
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
639926
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95000265
CA
Other
Enumeration date
09/28/2014
Last updated
11/05/2015
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