Individual
MARISSA BARBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
601 E ROLLINS ST, ORLANDO, FL 32803-1248
(407) 667-0444
(407) 667-4338
Mailing address
851 TRAFALGAR CT, STE 200E, MAITLAND, FL 32751-7420
(407) 667-0444
(407) 667-4338
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
101264
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
ARNP9277252
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
BCBS
FL
05
—
PENDING
—
FL
Enumeration date
06/12/2015
Last updated
03/03/2022
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