Individual provider · Type 1 NPI
Marisa Bruzzone, LMP
Specialist · Kirkland, WA
NPI number
1750681193
Active
Practice location
11417 124th Ave NE Ste 104
Kirkland, WA 98033-4677
Fax (206) 275-4876
Mailing address
14210 79th Ave NE
Kirkland, WA 98034-0712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | MA00021645 (WA) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1750681193
Marisa Bruzzone, LMP's National Provider Identifier is 1750681193, issued on Nov 2, 2010. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Kirkland, WA. The record was last updated on Jan 21, 2021.