Individual
MARISHA RAMPERTAAP RETALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
677 CONNECTICUT AVE, NORWALK, CT 06854-1645
(941) 705-0292
Mailing address
15404 ANCHORAGE PL, LAKEWOOD RCH, FL 34202-5601
(941) 705-0292
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN11004093
FL
Other
Enumeration date
09/17/2019
Last updated
06/08/2022
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