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MARISELA MORILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
24 HOSPITAL LN, CALAIS, ME 04619-1329
(207) 214-8045
Mailing address
2032 ALTA MEADOWS LN APT 1112, DELRAY BEACH, FL 33444-1161
(304) 887-8326

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
66793
WV
367500000X
Certified Registered Nurse Anesthetist
9404490
FL
367500000X
Certified Registered Nurse Anesthetist
RN785899
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
RNA213042
ME

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3810020292
MEDICAID
WV
01
8249881
MEDICARE PTAN
WV
Enumeration date
12/01/2010
Last updated
03/13/2024
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