Individual
MS. MARISSA G CRUZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3901 HOYT AVE, EVERETT, WA 98201-4918
(425) 317-3944
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(206) 860-5414
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
60497895
WA
363LA2100X
Acute Care Nurse Practitioner
10030517
OR
363LA2100X
Acute Care Nurse Practitioner
95029705
CA
363LA2100X
Acute Care Nurse Practitioner
Primary
AP61216498
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10030517
OREGON STATE BOARD OF NURSING
OR
01
—
AP61216498
WASHINGTON STATE BOARD OF NURSING
WA
Enumeration date
03/07/2015
Last updated
09/05/2025
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