Individual
MARISSA JEANINE D'ANNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 MICCOSUKEE RD, TALLAHASSEE, FL 32308-5054
(850) 431-1155
Mailing address
3601 W 13 MILE RD, ROYAL OAK, MI 48073-6712
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
4704294395
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
APRN11016635
FL
Other
Enumeration date
11/06/2019
Last updated
05/15/2024
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