MARISA D MOLINE APRN CNP CBIS NPI 1962425082

NPI Information

NPI: 1962425082
Provider Name: MARISA D MOLINE, APRN, CNP, CBIS
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1700 HIGHWAY 25 N
BUFFALO, MN
ZIP 55313
Phone: (763) 682-1313
Get Directions

Marisa D Moline, APRN, CNP, CBIS is a family nurse practitioner in Buffalo, MN with 19 years of experience. Marisa D Moline, APRN, CNP, CBIS NPI is 1962425082. 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:

1700 HIGHWAY 25 N
BUFFALO, MN
ZIP 55313-930
Phone: (763) 682-1313
Fax: (763) 581-9090

The NPI 1962425082 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), Power Mobility Devices.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 8/9/2022.

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	363L00000X	Nurse Practitioner		CNP1645	MINNESOTA	No
2	363L00000X	Nurse Practitioner		R 146976-3	MINNESOTA	No
3	363LF0000X	Nurse Practitioner	Family	R 146976-3	MINNESOTA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	255489500	MEDICAID	MINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »