MARISSA PULTZ PA NPI 1558598789

NPI Information

  • NPI: 1558598789
  • Provider Name: MARISSA PULTZ, PA
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1700 ST LUKES BLVD
    SUITE 200
    EASTON, PA
    ZIP 18045
  • Phone: (484) 503-0055

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NPI Details

Marissa Pultz, PA is a medical physician assistant in Easton, PA. Marissa Pultz, PA NPI is 1558598789. 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 ST LUKES BLVD
SUITE 200
EASTON, PA
ZIP 18045-670
Phone: (484) 503-0055
Fax: (484) 503-0003

The NPI 1558598789 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 6/15/2009 and was last updated on 3/29/2016.

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
1363AM0700XPhysician AssistantMedicalMA053918PENNSYLVANIAYes

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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