Individual
MARISA MIZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP,CPNP-AC
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-2051
Mailing address
5265 WATSON ST NW, WASHINGTON, DC 20016-5343
(301) 325-8215
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
RN36187
DC
Other
Enumeration date
06/07/2006
Last updated
09/15/2008
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