Provider Demographics
NPI:1255921656
Name:ROBERTO, MARISA CHRISTINA (FNP)
Entity type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:CHRISTINA
Last Name:ROBERTO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:CHRISTINA
Other - Last Name:WASHKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:35130 SULLIVAN DR
Mailing Address - Street 2:
Mailing Address - City:NORTH RIDGEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44039-1498
Mailing Address - Country:US
Mailing Address - Phone:216-409-8088
Mailing Address - Fax:
Practice Address - Street 1:13777 PEARL RD # 4300
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-4900
Practice Address - Country:US
Practice Address - Phone:440-238-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-20
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.025385363LF0000X
OH025385363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily