Individual
MARISSA MULDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
9500 E IRONWOOD SQUARE DR, SCOTTSDALE, AZ 85258-4582
(480) 626-2552
(482) 626-2552
Mailing address
9259 W DENTON LN, GLENDALE, AZ 85305-3303
(916) 955-4725
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
280087
AZ
Other
Enumeration date
08/30/2022
Last updated
12/21/2022
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