Individual
MARISSA RENEE CARPINTEYRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
636 BALTIC ST APT 3, BROOKLYN, NY 11217-3102
(210) 410-0018
Mailing address
PO BOX 840853, DALLAS, TX 75284-0853
(210) 410-0018
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
702821
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
1036257
TX
367500000X
Certified Registered Nurse Anesthetist
702821
NY
Other
Enumeration date
08/04/2017
Last updated
07/21/2022
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