MARISSA COMMODORE, CRNA

Nurse Anesthetist, Certified Registered

Active Individual
NPI: 1881264356

Practice Address

5357 WINDFERN CT
Stone Mountain, GA 30088

Phone: (770) 875-3080

Specialties

Specialty Code Primary License
Anesthesiology 207L00000X No RN264280 (GA)
Nurse Anesthetist, Certified Registered 367500000X Yes RN264280 (GA)

Frequently Asked Questions

NPI 1881264356 is the National Provider Identifier for MARISSA COMMODORE, CRNA, a Nurse Anesthetist, Certified Registered provider located in Stone Mountain, GA. This NPI was enumerated on June 28, 2021.
MARISSA COMMODORE, CRNA practices at 5357 WINDFERN CT, Stone Mountain, GA 30088.

Quick Facts

NPI
1881264356
Type
Individual
Enumerated
Jun 28, 2021
Last Updated
May 23, 2024

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