Individual
MARISSA HALEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 ELMWOOD AVE, ROCHESTER, NY 14642-0001
(585) 275-2267
Mailing address
16 CHESTERBROOK LN, PITTSFORD, NY 14534-4725
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
905039
NY
363LN0000X
Neonatal Nurse Practitioner
Primary
350579
NY
Other
Enumeration date
10/24/2023
Last updated
03/02/2026
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