Individual
MARISSA ANN GIOVINAZZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-4000
Mailing address
3400 SPRUCE ST STE 680, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN685415
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
147845
PA
Other
Enumeration date
11/28/2023
Last updated
12/13/2023
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