Warren, Marisa

Warren, Marisa is an sole proprietor health care provider with primary practice located at 2495 Ray Rd , Spring Lake NC 28390-7531. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Health Educator, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Warren, Marisa can be contacted via phone (910) 436-1436.

Contact Information

Primary practice address
2495 Ray Rd Spring Lake NC 28390-7531
Phone: (910) 436-1436
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X LAT-3011 North Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1659829638
LBN Legal business name Warren, Marisa
Credentials LAT, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 19th, 2016
Last updated Oct 7th, 2016 - about 8 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 1659829638 NPPES
North Carolina Other LAT-3011 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
North Carolina Other 2000024503 NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS

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