Individual
MARISSA ROSE HARRAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
22101 MOROSS RD, DETROIT, MI 48236-2148
(313) 343-4000
Mailing address
41205 REDWOOD CT, CLINTON TOWNSHIP, MI 48038-4619
(734) 395-7641
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704282487
MI
363LF0000X
Family Nurse Practitioner
Primary
4704282487
MI
Other
Enumeration date
11/25/2018
Last updated
03/21/2019
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