| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARISSA ADELE RESTIVO | 1689266793 | 2021-02-14 |
Marissa Adele Restivo is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1689266793. Registration indicates Marissa Adele Restivo is a provider of services with a specialization in Nursing Service Providers, Registered Nurse (Registered Nurse, ) (All Other Specialties & Provider Types, ) (Registered Nurse, Nursing Service Providers)
| Entity Type | Individual |
| Provider Name | Marissa Adele Restivo |
| Practice Office Address | 4944 WESTCLIFFE CT SYLVANIA, OH US |
| Practice Office Telephone | 4197088107 |
| Mailing Address | 4944 WESTCLIFFE CT SYLVANIA, OH 435603023 US |
| Code | Practice | License No State |
|---|---|---|
| 163W00000X PRIMARY | Nursing Service Providers Registered Nurse Registered Nurse All Other Specialties & Provider Types Registered Nurse Nursing Service Providers | 4704322696
MI |