Individual
MARISSA WEINGARTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-8000
(701) 364-8078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
2897
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R32885
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1463344
—
ND
Enumeration date
01/22/2015
Last updated
02/01/2026
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