Restivo, Marissa Adele

Restivo, Marissa Adele is an individual health care provider with primary practice located at 1103 Village Square Dr Ste 100 , Perrysburg OH 43551-1762. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Restivo, Marissa Adele can be contacted via phone (567) 368-3213.

Contact Information

Primary practice address
1103 Village Square Dr Ste 100 Perrysburg OH 43551-1762
Phone: (567) 368-3213
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704322696 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.0030045 Ohio

Profile Details

NPI number 1689266793
LBN Legal business name Restivo, Marissa Adele
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2021
Last updated Jan 26th, 2022 - about 4 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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