MARISSA BOTTOS

LA PORTE, IN
NPI1639720972
Former NameMARISSA SMITH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: IN  71009430A)
Enumeration Date2019-09-27
Last Update Date2026-03-19
Business Address
MARISSA BOTTOS FNP, APRN
1331 STATE ST # 340
LA PORTE, IN 46350-3112
Phone number: 219-324-0875
Mailing Address
MARISSA BOTTOS FNP, APRN
1331 STATE ST # 340
LA PORTE, IN 46350-3112
Phone number: 219-324-0875