Individual
MRS. MARISSA ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1 EMERSON PL STE 3H, BOSTON, MA 02114-2252
(617) 397-3951
Mailing address
8 FAIRVIEW CIR, GROVELAND, MA 01834-1309
(603) 860-6310
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
070155-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2293349
MA
Other
Enumeration date
04/21/2021
Last updated
02/26/2024
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