Individual provider · Type 1 NPI

Marissa Lynette Commodore, CRNA

Certified Registered Nurse Anesthetist · Stone Mountain, GA

NPI number 1881264356 Active

Practice location

5357 Windfern Ct
Stone Mountain, GA 30088-3329

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XRN264280 (GA)
Certified Registered Nurse Anesthetist Primary 367500000XRN264280 (GA)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1881264356

Marissa Lynette Commodore, CRNA's National Provider Identifier is 1881264356, issued on Jun 28, 2021. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Stone Mountain, GA. The record was last updated on May 23, 2024.