Provider Demographics
NPI:1013214907
Name:PIOTROWSKI, MARISSA TUNON (ARNP)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:TUNON
Last Name:PIOTROWSKI
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 SAN LORENZO AVE
Mailing Address - Street 2:SUITE 2345
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33146-1846
Mailing Address - Country:US
Mailing Address - Phone:305-507-3461
Mailing Address - Fax:
Practice Address - Street 1:330 SAN LORENZO AVE
Practice Address - Street 2:SUITE 2345
Practice Address - City:CORAL GABLES
Practice Address - State:FL
Practice Address - Zip Code:33146-1846
Practice Address - Country:US
Practice Address - Phone:305-507-3461
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-11
Last Update Date:2016-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP 9248766363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily