Individual
MARISA VIROSTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
31 ROCK FENCE CIR SE, CARTERSVILLE, GA 30121-5278
(770) 608-5112
Mailing address
31 ROCK FENCE CIR SE, CARTERSVILLE, GA 30121-5278
(770) 608-5112
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
RN205466
GA
363LP2300X
Primary Care Nurse Practitioner
Primary
RN205466
GA
Other
Enumeration date
10/17/2022
Last updated
11/14/2024
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