Individual provider · Type 1 NPI

Marisa Marie Leblanc, ARNP, AGPCNP-BC

Adult Health Nurse Practitioner · Tacoma, WA

NPI number 1124851092 Active

Practice location

1802 Yakima Ave Ste 302
Tacoma, WA 98405-5305

Fax (253) 627-6576

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000XAP61532651 (WA)
Gerontology Nurse Practitioner 363LG0600XAP61532651 (WA)
Adult Health Nurse Practitioner Primary 363LA2200XAP61532651 (WA)

Adult Health Nurse Practitioner: Definition to come...

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About NPI 1124851092

Marisa Marie Leblanc, ARNP, AGPCNP-BC's National Provider Identifier is 1124851092, issued on Aug 24, 2024. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Tacoma, WA. The record was last updated on Aug 18, 2025.