Smitt, Marisa

Smitt, Marisa is an individual health care provider with primary practice located at 29275 Northwestern Hwy Ste 100 , Southfield MI 48034-5700. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smitt, Marisa can be contacted via phone (248) 784-3667.

Contact Information

Primary practice address
29275 Northwestern Hwy Ste 100 Southfield MI 48034-5700
Phone: (248) 784-3667
Fax: (248) 869-3982
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704283890 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 17658 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704283890 Michigan

Profile Details

NPI number 1689058463
LBN Legal business name Smitt, Marisa
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2015
Last updated May 5th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1689058463 NPPES
Ohio MEDICAID 0140037

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