Pettit, Marissa A

Pettit, Marissa A is an individual health care provider with primary practice located at 2211 Lomas Blvd Ne , Albuquerque NM 87106-2719. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Pettit, Marissa A can be contacted via phone (505) 272-6646.

Contact Information

Primary practice address
2211 Lomas Blvd Ne Albuquerque NM 87106-2719
Fax: (505) 272-6665
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP-02278 New Mexico

Profile Details

NPI number 1831528090
LBN Legal business name Pettit, Marissa A
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2013
Last updated Jan 5th, 2017 - about 9 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.

Request for update

Popular Providers