Provider Demographics
NPI:1043327034
Name:STRINGER, MARISA D (NP-C)
Entity Type:Individual
Prefix:MISS
First Name:MARISA
Middle Name:D
Last Name:STRINGER
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:DIANE
Other - Last Name:STRINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:1009 TOMMY MUNRO DR STE A
Mailing Address - Street 2:
Mailing Address - City:BILOXI
Mailing Address - State:MS
Mailing Address - Zip Code:39532-2100
Mailing Address - Country:US
Mailing Address - Phone:228-232-0872
Mailing Address - Fax:228-232-0874
Practice Address - Street 1:1009 TOMMY MUNRO DR STE A
Practice Address - Street 2:
Practice Address - City:BILOXI
Practice Address - State:MS
Practice Address - Zip Code:39532-2100
Practice Address - Country:US
Practice Address - Phone:228-232-0872
Practice Address - Fax:228-232-0874
Is Sole Proprietor?:No
Enumeration Date:2006-08-24
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR861372363LF0000X
MS861372363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00508243Medicaid
MS347606ZMG3OtherMEDICARE