| NPI | 1518282540 |
|---|---|
| Former Name | MARISSA DOROTHY LYNN STANLEY/LEPORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020602) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 603709-1) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY F401367-1) | |
| Enumeration Date | 2010-04-01 |
| Last Update Date | 2024-11-01 |