Leaversuch, Marissa Rose

Leaversuch, Marissa Rose is an individual health care provider with primary practice located at 280 Beach Street , Revere MA 02151. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Leaversuch, Marissa Rose can be contacted via phone (781) 289-5057.

Contact Information

Primary practice address
280 Beach Street Revere MA 02151
Phone: (781) 289-5057
Fax: (781) 289-4485
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN260274 Massachusetts

Profile Details

NPI number 1538318993
LBN Legal business name Leaversuch, Marissa Rose
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2008
Last updated Jul 3rd, 2019 - about 7 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.

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