MARISSA AWWAD NP NPI 1306658570

NPI Information

  • NPI: 1306658570
  • Provider Name: MARISSA AWWAD, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 201 BJC SAINT PETERS DR STE 200C
    SAINT PETERS, MO
    ZIP 63376
  • Phone: (961) 563-6916

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NPI Details

Marissa Awwad, NP is a family nurse practitioner in Saint Peters, MO with 2 years of experience. Marissa Awwad, NP NPI is 1306658570. 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:

201 BJC SAINT PETERS DR STE 200C
SAINT PETERS, MO
ZIP 63376-385
Phone: (961) 563-6916

The NPI 1306658570 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 1/23/2025 and was last updated on 9/18/2025.

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
1363LF0000XNurse PractitionerFamily2025003389MISSOURIYes
2163WC1600XRegistered NurseContinuing Education/Staff Development2018025751MISSOURINo
3363L00000XNurse Practitioner2025003389MISSOURINo

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: 11/21/2025

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