Individual
MARISSA KRAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
47915 OASIS ST, INDIO, CA 92201-6950
(760) 863-8650
Mailing address
54455 AVENIDA MADERO, LA QUINTA, CA 92253-3620
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
95253923
CA
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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