Green, Marissa Rose

Green, Marissa Rose is an individual health care provider with primary practice located at 4320 196Th St Sw Ste D , Lynnwood WA 98036-6753. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Green, Marissa Rose can be contacted via phone (425) 774-8758.

Contact Information

Primary practice address
4320 196Th St Sw Ste D Lynnwood WA 98036-6753
Phone: (425) 774-8758
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP60950065 Washington

Profile Details

NPI number 1619438587
LBN Legal business name Green, Marissa Rose
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2019
Last updated Feb 7th, 2025 - about last year

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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