Individual
DR. MARISSA FONTANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
604 NW RICHMOND BEACH RD, SHORELINE, WA 98177-3122
(206) 533-2900
Mailing address
901 TAYLOR AVE N APT 302, SEATTLE, WA 98109-6106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN60812006
WA
363LF0000X
Family Nurse Practitioner
Primary
AP60862236
WA
363LP2300X
Primary Care Nurse Practitioner
AP60862236
WA
Other
Enumeration date
10/11/2018
Last updated
01/03/2019
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