MARISSA ROSE LEAVERSUCH CPNP NPI 1538318993

NPI Information

NPI: 1538318993
Provider Name: MARISSA ROSE LEAVERSUCH, CPNP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

Address:
280 BEACH STREET
REVERE, MA
ZIP 02151
Phone: (781) 289-5057
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Marissa Rose Leaversuch, CPNP is a pediatrics nurse practitioner in Revere, MA. Marissa Rose Leaversuch, CPNP NPI is 1538318993. 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:

280 BEACH STREET
REVERE, MA
ZIP 02151
Phone: (781) 289-5057
Fax: (781) 289-4485

The enumeration date for this NPI number is 9/10/2008 and was last updated on 7/3/2019.

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	363LP0200X	Nurse Practitioner	Pediatrics	RN260274	MASSACHUSETTS	Yes

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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