Individual
MARISSA LEE ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1982 W MAIN ST STE 101, MESA, AZ 85201-6917
(480) 677-8282
(844) 470-2777
Mailing address
261 N ROOSEVELT AVE, CHANDLER, AZ 85226-2617
(480) 677-8282
(844) 470-2777
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
AP11499
AZ
363LF0000X
Family Nurse Practitioner
1227510
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AP11499
AZ STATE BOARD OF NURSING
AZ
Enumeration date
07/10/2018
Last updated
02/27/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us