Individual
MARISSA HALEY WHITAKER
Active
Individual
MARISSA HALEY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
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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