Marissa L. Commodore, CRNA
CRNA (Nurse Anesthetist) · Stone Mountain, GA
UnclaimedCRNANPI 1881264356
- Primary taxonomy
- 367500000X
- Enumerated
- 2021-06-28
- Practice location
- Stone Mountain, GA
- Last NPPES update
- 2024-05-23
State licenses
- GA · Crna · NPPES self-reportedListed on NPI record
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.