Individual
MARISSA MARIE HERRANZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 327-2695
Mailing address
845 N KINGSBURY ST, #711, CHICAGO, IL 60610-9241
(512) 587-6193
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209007831
IL
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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