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Individual

MRS. MARISA LEIGH PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC, CVNP-BC

Contact information

Practice address
450 BLOSSOM ST STE D, WEBSTER, TX 77598-4200
(832) 905-5940
Mailing address
450 BLOSSOM ST STE D, WEBSTER, TX 77598-4200
(832) 905-5940

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1068733
TX
363LA2200X
Adult Health Nurse Practitioner
Primary
16245
TN

Other

Enumeration date
11/08/2011
Last updated
05/03/2022
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