Individual
MS. MARISSA RENEE SEVENISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Contact information
Practice address
1513 S MAIN ST, CHELSEA, MI 48118-1434
(734) 475-9175
(734) 475-0120
Mailing address
24 FRANK LLOYD WRIGHT DR STE J2000, ANN ARBOR, MI 48105-9484
(734) 747-6766
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
202018948
MI
Other
Enumeration date
10/01/2021
Last updated
12/27/2021
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