Individual
MRS. MIA MARISSA GUERRERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NNP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
AP133643
TX
364SN0000X
Neonatal Clinical Nurse Specialist
AP133643
TX
Other
Enumeration date
04/13/2017
Last updated
09/20/2017
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