MARISSA ANN DUFUR NP NPI 1558040675

NPI Information

  • NPI: 1558040675
  • Provider Name: MARISSA ANN DUFUR, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4161 N THANKSGIVING WAY STE 206
    LEHI, UT
    ZIP 84043
  • Phone: (801) 997-9798

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NPI Details

Marissa Ann Dufur, NP is a family nurse practitioner in Lehi, UT. Marissa Ann Dufur, NP NPI is 1558040675. 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:

4161 N THANKSGIVING WAY STE 206
LEHI, UT
ZIP 84043-063
Phone: (801) 997-9798

The NPI 1558040675 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 7/17/2023 and was last updated on 5/7/2024.

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
1163W00000XRegistered Nurse7870638-3102UTAHNo
2363LF0000XNurse PractitionerFamily7870638-4405UTAHYes

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
17870638-4405OTHERUTAHDOPL-UTAH

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: 3/30/2025

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