Individual
MARISSA ADELE RESTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1103 VILLAGE SQUARE DR STE 100, PERRYSBURG, OH 43551-1762
(567) 368-3213
Mailing address
1103 VILLAGE SQUARE DR STE 100, PERRYSBURG, OH 43551-1762
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704322696
MI
363L00000X
Nurse Practitioner
Primary
APRN.CNP.0030045
OH
Other
Enumeration date
02/09/2021
Last updated
01/26/2022
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