Individual
MARISSA JEAN TANASI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
625 CLARK AVE, BRISTOL, CT 06010-4068
(860) 583-7700
(860) 589-7656
Mailing address
7 FLORENCE LN, PLAINVILLE, CT 06062-1018
(860) 706-4140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
12892
CT
Other
Enumeration date
02/22/2024
Last updated
02/26/2024
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