Individual
MARCY PARISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
32652 KNO DRIVE, DOWAGIAC, MI 49047
(269) 782-4141
(269) 783-1236
Mailing address
710 N NILES AVE, SOUTH BEND, IN 46617-1924
(574) 647-1610
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
28175294A
IN
363LF0000X
Family Nurse Practitioner
Primary
4704336810
MI
363LF0000X
Family Nurse Practitioner
71004756A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000862002
BCBS BMG E BLAIR WARNER
IN
05
—
201211670
—
IN
Enumeration date
01/16/2014
Last updated
05/13/2020
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