MRS. Marisa Kristine Blake-raut, FNP-C, ENP-C is a family nurse practitioner in Kennesaw, GA with 6 years of experience. MRS. Marisa Kristine Blake-raut, FNP-C, ENP-C NPI is 1528532272. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
2481 GEORGE BUSBEE PKWY NW
KENNESAW, GA
ZIP 30144-961
Phone: (770) 423-0000
The NPI 1528532272 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 1/16/2019 and was last updated on 8/26/2020.