| NPI | 1528336021 |
|---|---|
| Former Name | MARISSA LEE NEROUTSOS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61376077) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61376064) |
| 163W00000X Registered Nurse (Licence: NY 646146) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 402689) | |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2025-05-02 |