Individual
MARISSA RAE BRAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, CNP
Contact information
Practice address
9500 EUCLID AVE # G60, CLEVELAND, OH 44195-0001
(216) 316-7370
Mailing address
280 BUCKINGHAM DR, AURORA, OH 44202-6748
(216) 385-8011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.420376
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN.CNP.024324
OH
363LF0000X
Family Nurse Practitioner
APRN.CNP.024324
OH
Other
Enumeration date
10/10/2019
Last updated
09/24/2021
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