Individual
MARISSA WITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2650 LODGE RD SW, SHERRODSVILLE, OH 44675-9718
(740) 200-3800
Mailing address
9537 DAWN RD NE, SHERRODSVILLE, OH 44675-9024
(330) 401-6531
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
406288
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3304016531
N./A
—
Enumeration date
03/11/2021
Last updated
03/11/2021
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