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Marissa Lynette Commodore
Certified Registered Nurse Anesthetist in Stone Mountain, Georgia
NPI 1881264356

Marissa Lynette Commodore is a Certified Registered Nurse Anesthetist based in Stone Mountain, GA. Marissa Lynette Commodore practices in Stone Mountain, GA. The NPI Number for Marissa Lynette Commodore is 1881264356 and holds a License No. (Georgia).

The current practice location address for Marissa Lynette Commodore is 5357 Windfern Ct, Stone Mountain, GA and can be reached out via phone at 770-875-3080. You can also correspond with Marissa Lynette Commodore through the mailing address at 5357 WINDFERN CT, STONE MOUNTAIN, GA - 30088-3329 (mailing address contact number: 770-875-3080).

Location: 5357 Windfern Ct, Stone Mountain, GA, 30088-3329
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881264356
Provider Name
Marissa Lynette Commodore
Credential
Provider Entity Type
Individual
Gender
Female
Address
5357 Windfern Ct, Stone Mountain, GA, 30088-3329
Phone Number
770-875-3080
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5357 Windfern Ct
City
Stone Mountain
State
Georgia
Zip
30088-3329
Phone Number
770-875-3080
Fax Number
person
Provider Business Mailing Address Details
Address
5357 Windfern Ct
City
Stone Mountain
State
Georgia
Zip
30088-3329
Phone Number
770-875-3080
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
RN264280 (Georgia)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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