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MARISSA PROVOST

Certified Registered Nurse Anesthetist

NPI: 1942048475IndividualAccepts Medicare

Specialties, Licenses & Credentials

Nurse Anesthetist, Certified Registered

Code: 367500000X

RN2301689(MA)

CMS Specialties

PrimaryCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)

Education

OTHER

Class of 2024

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Contact & Hours

Address
759 CHESTNUT ST
SPRINGFIELD, MA 01199

Quick Facts

NPI
1942048475
Entity Type
Individual
Gender
Female
Medicare
Accepted
Specialties
1
Locations
1
Years in Practice
2

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