Individual
MARISA MARIE LEBLANC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, AGPCNP-BC
Contact information
Practice address
1802 YAKIMA AVE STE 302, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Mailing address
1802 YAKIMA AVE STE 302, TACOMA, WA 98405-5305
(253) 627-1244
(253) 627-6576
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP61532651
WA
363LA2200X
Adult Health Nurse Practitioner
Primary
AP61532651
WA
363LG0600X
Gerontology Nurse Practitioner
AP61532651
WA
Other
Enumeration date
08/24/2024
Last updated
08/18/2025
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