Fernandez, Marissa

Fernandez, Marissa is an sole proprietor health care provider with primary practice located at 99 Route 37 W , Toms River NJ 08755-6423. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Fernandez, Marissa can be contacted via phone (732) 557-8000.

Contact Information

Primary practice address
99 Route 37 W Toms River NJ 08755-6423
Phone: (732) 557-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 26NR16584000 New Jersey
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 26NJ00851800 New Jersey

Profile Details

NPI number 1992283535
LBN Legal business name Fernandez, Marissa
Credentials DNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 6th, 2018
Last updated Oct 21st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992283535 NPPES
New Jersey MEDICAID 1992283535

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