Individual
MRS. MARISA IVETTE BURGOS-MARTINEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-1489
Mailing address
9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 968-0770
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024177374
VA
363LF0000X
Family Nurse Practitioner
Primary
AP60978482
WA
Other
Enumeration date
03/08/2019
Last updated
07/06/2026
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