Individual
MARISSA ANN DUFUR
Active
Individual
MARISSA ANN DUFUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
7870638-3102
UT
363LF0000X
Family Nurse Practitioner
Primary
7870638-4405
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7870638-4405
DOPL-UTAH
UT
Enumeration date
07/17/2023
Last updated
05/28/2026
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