Individual
DR. MARISA KRISTINE BLAKE-RAUT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, FNP-C, ENP-C
Contact information
Practice address
993 JOHNSON FY RD NE BLDG F, ATLANTA, GA 30342-1620
(404) 256-1727
(404) 252-3591
Mailing address
993 JOHNSON FY RD NE STE 210, ATLANTA, GA 30342-1620
(404) 256-1727
(404) 256-3591
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN-NP193648
GA
Other
Enumeration date
01/16/2019
Last updated
10/09/2025
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