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Contact Information

MARISA K BLAKE RAUT, DNP, FNP-C, ENP-C
993 JOHNSON FY RD NE BLDG F
ATLANTA, GA30342-1620
 Phone: 404-256-1727
 Fax: 404-252-3591
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MARISA K BLAKE RAUT · (Female)

NPI # 1528532272
Status Active
Credentials DNP, FNP-C, ENP-C
Entity Individual
Enumeration date 01/16/2019
Last updated 10/09/2025 - About 8 months ago
Sole proprietor 1 Yes
Identifiers
  • GA License # APRN-NP193648
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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