Gunderson, Marissa

Gunderson, Marissa is an individual health care provider with primary practice located at 572 Cookman Ave , Asbury Park NJ 07712-7102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Community Health, which is considered as her primary health care specialty. Gunderson, Marissa can be contacted via phone (732) 774-6333.

Contact Information

Primary practice address
572 Cookman Ave Asbury Park NJ 07712-7102
Phone: (732) 774-6333
Fax: (732) 774-8083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 26NJ00021000 New Jersey

Profile Details

NPI number 1639122682
LBN Legal business name Gunderson, Marissa
Credentials RN.,APN C
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1639122682 NPPES
New Jersey MEDICAID X5/19

Popular Providers