Individual
MARISSA BLAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
10243 ROGERS DRIVE, NASSAWADOX, VA 23413
(757) 442-6719
Mailing address
856 J CLYDE MORRIS BLVD, SUITE A, NEWPORT NEWS, VA 23601-1318
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024174033
VA
Other
Enumeration date
10/26/2016
Last updated
10/26/2016
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