Individual
KRISTY M. MARRIOTT-DUVALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758
Mailing address
1601 BRIGHAM DR, SUITE 250, PERRYSBURG, OH 43551-7114
(419) 872-7745
(419) 874-7758
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-307522
OH
363L00000X
Nurse Practitioner
Primary
NP-10328
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2923948
—
OH
Enumeration date
10/14/2008
Last updated
11/03/2023
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