Individual
MARISSA MARIE HARTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1389 LAKEWOOD DR STE B, SLIDELL, LA 70458-3127
(504) 919-3850
Mailing address
126 DILLON DR, SLIDELL, LA 70461-4239
(504) 919-3850
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
205508
LA
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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