Individual
MARISSA ELIZABETH FITLIN
Active
Individual
MARISSA ELIZABETH FITLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110008875
VA
363AM0700X
Medical Physician Assistant
Primary
PA200001677
DC
363AM0700X
Medical Physician Assistant
—
NY
Other
Enumeration date
12/15/2020
Last updated
07/27/2026
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