Individual
MRS. MARISSA MCCLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
14891 W GENTLE BREEZE WAY, SURPRISE, AZ 85374-8633
(480) 622-3612
Mailing address
14891 W GENTLE BREEZE WAY, SURPRISE, AZ 85374-8633
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
257006
AZ
Other
Enumeration date
05/06/2021
Last updated
02/23/2026
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