Individual
MARISSA M MCINTYRE
Active
Individual
MARISSA M MCINTYRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-143798
AL
363LW0102X
Women's Health Nurse Practitioner
Primary
1-143798
AL
Other
Enumeration date
11/01/2019
Last updated
03/08/2022
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