Individual
MRS. MARISSA MARTINEZ HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 PENNSYLVANIA AVE, FORT WORTH, TX 76104-2122
(817) 825-2000
Mailing address
3600 ERNEST CT, FORT WORTH, TX 76116-9342
(817) 992-3327
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
Primary
733624
TX
363LN0000X
Neonatal Nurse Practitioner
AP128001
TX
Other
Enumeration date
11/16/2014
Last updated
05/28/2015
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