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MRS. MARISSA LYNN MESIYA APRN, IBCLC

Nursing Service Providers Registered Nurse

Provider NPI: 1982157087

Provider Information:
MRS. MARISSA LYNN MESIYA APRN, IBCLC
Gender: F
Not Sole Proprietor

Practice Location:
1073 N BENSON RD  FAIRFIELD, CT 06824-5171 US
Tel: 203-254-4000  Fax: --

Business Mailing Address:
1073 N BENSON RD  FAIRFIELD, CT 06824-5171 US
Tel: --  Fax: --

NPI Information:
NPI: 1982157087
Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N163W00000XNursing Service Providers
Registered Nurse
CT085393
N163WL0100XNursing Service Providers
Registered Nurse
CTL-85581
N163WL0100XNursing Service Providers
Registered Nurse
CT085393
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT004858

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 363LF0000X

Type:

Classification:



Definition:



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