Individual provider · Type 1 NPI

Marisa Kristine Blake-Raut, DNP, FNP-C, ENP-C

Primary Care Nurse Practitioner · Atlanta, GA

NPI number 1528532272 Active

Practice location

993 Johnson Fy Rd NE Bldg F
Atlanta, GA 30342-1620

Call (404) 256-1727 Map

Fax (404) 252-3591

Mailing address

993 Johnson Fy Rd NE Ste 210
Atlanta, GA 30342-1620

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAPRN-NP193648 (GA)

Primary Care Nurse Practitioner: Definition to come...

Another provider at this address

Other primary care nurse practitioner providers in Atlanta

See all in Atlanta →

About NPI 1528532272

Marisa Kristine Blake-Raut, DNP, FNP-C, ENP-C's National Provider Identifier is 1528532272, issued on Jan 16, 2019. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Atlanta, GA. The record was last updated on Oct 9, 2025.