Provider Demographics
NPI:1063929883
Name:TOY, MARISA SWEETSER (DNP CRNA)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:SWEETSER
Last Name:TOY
Suffix:
Gender:F
Credentials:DNP CRNA
Other - Prefix:
Other - First Name:MARISA
Other - Middle Name:CHRISTINE
Other - Last Name:SWEETSER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP CRNA
Mailing Address - Street 1:5808 LAKE MELROSE DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32829-7689
Mailing Address - Country:US
Mailing Address - Phone:607-229-0992
Mailing Address - Fax:
Practice Address - Street 1:83 W MILLER ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-2031
Practice Address - Country:US
Practice Address - Phone:321-843-9792
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-02
Last Update Date:2021-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9378502163W00000X
FLARNP9378502367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse