Provider Demographics
NPI:1831680925
Name:COMALANDER, MARISA (FNP-C)
Entity type:Individual
Prefix:MRS
First Name:MARISA
Middle Name:
Last Name:COMALANDER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:17516 US HIGHWAY 59
Mailing Address - Street 2:STE 100
Mailing Address - City:NEW CANEY
Mailing Address - State:TX
Mailing Address - Zip Code:77357-8718
Mailing Address - Country:US
Mailing Address - Phone:832-855-3080
Mailing Address - Fax:281-689-9011
Practice Address - Street 1:451 KINGWOOD MEDICAL DR STE 200
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339
Practice Address - Country:US
Practice Address - Phone:281-359-2080
Practice Address - Fax:281-359-2421
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2024-09-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXAP137758363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty