MARISSA MCNELLY LE DPM NPI 1295149391

NPI Information

NPI: 1295149391
Provider Name: MARISSA MCNELLY LE, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

PECOS Registration: Yes

Address:
1301 E NORTHLAND AVE STE B
APPLETON, WI
ZIP 54911
Phone: (207) 311-9999
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Marissa Mcnelly Le, DPM is a foot and ankle surgery podiatrist in Appleton, WI with 10 years of experience. Marissa Mcnelly Le, DPM NPI is 1295149391. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1301 E NORTHLAND AVE STE B
APPLETON, WI
ZIP 54911-582
Phone: (207) 311-9999
Fax: (920) 731-3729

The NPI 1295149391 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 6/17/2014 and was last updated on 7/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	213ES0103X	Podiatrist	Foot & Ankle Surgery	1099-25	WISCONSIN	Yes
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	41000316A	INDIANA	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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