Edwards, Marissa Nicole

Edwards, Marissa Nicole is an individual health care provider with primary practice located at 6711 Towpath Rd Ste 235 , East Syracuse NY 13057-9509. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Edwards, Marissa Nicole can be contacted via phone (315) 471-2646.

Contact Information

Primary practice address
6711 Towpath Rd Ste 235 East Syracuse NY 13057-9509
Phone: (315) 471-2646
Fax: (315) 471-1762
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383174-01 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X F383174 New York
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 383174 New York

Profile Details

NPI number 1811593775
LBN Legal business name Edwards, Marissa Nicole
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2020
Last updated May 22nd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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