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Marissa Blanco, LPC,FNP
Family Nurse Practitioner in Lubbock, Texas
NPI 1386644821

Marissa Blanco is a Family Nurse Practitioner based in Lubbock, TX and is specialized in Family. Marissa Blanco practices in Lubbock, TX and has the professional credentials of LPC,FNP. The NPI Number for Marissa Blanco is 1386644821 and holds a License No. 10875 (Texas).

The current practice location address for Marissa Blanco is 1318 Broadway, Lubbock, TX and can be reached out via phone at 806-765-2611 and via fax at 806-741-3012. You can also correspond with Marissa Blanco through the mailing address at 1313 BROADWAY STE 5, LUBBOCK, TX - 79401-3209 (mailing address contact number: 806-765-2611).

Location: 1318 Broadway, Lubbock, TX, 79401-3209
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Provider Profile Details
NPI Number
1386644821
Provider Name
Marissa Blanco
Credential
LPC,FNP
Provider Entity Type
Individual
Gender
Female
Address
1318 Broadway, Lubbock, TX, 79401-3209
Phone Number
806-765-2611
Fax Number
806-741-3012
Provider Enumeration Date
07/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
028736901 05 TX
institution
Provider Business Practice Location Address Details
Address
1318 Broadway
City
State
Zip
79401-3206
Phone Number
806-765-2611
Fax Number
806-741-3012
person
Provider Business Mailing Address Details
Address
1318 Broadway
City
State
Zip
79401-3206
Phone Number
806-765-2611
Fax Number
806-741-3012
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
760444 (Texas)
Definition
Definition to come...
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Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
10875 (Texas)
Definition
Definition to come...
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