Basic Information
Provider Information
NPI: 1609437508
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARMSTRONG
FirstName: MARISSA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: DNP, FNP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 611 N IRON BRIDGE WAY
Address2:  
City: SPOKANE
State: WA
PostalCode: 992024932
CountryCode: US
TelephoneNumber: 5094448888
FaxNumber: 5094447806
Practice Location
Address1: 1502 N VERCLER RD
Address2:  
City: SPOKANE VALLEY
State: WA
PostalCode: 992161078
CountryCode: US
TelephoneNumber: 5094448204
FaxNumber: 5094340321
Other Information
ProviderEnumerationDate: 06/22/2019
LastUpdateDate: 02/04/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/04/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XN-43344IDN Nursing Service ProvidersRegistered Nurse 
163W00000XRN60978158WAN Nursing Service ProvidersRegistered Nurse 
363L00000X62266IDN Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 
363L00000XAP60978160WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner 

No ID Information.


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