MARISSA LYNN SAENGSAMRAN APRN BC NPI 1609931963

NPI Information

NPI: 1609931963
Provider Name: MARISSA LYNN SAENGSAMRAN, APRN, BC
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

Organization: FOREFRONT DERMATOLOGY

PECOS Registration: Yes

Address:
816 S KIRKWOOD RD STE 210
SAINT LOUIS, MO
ZIP 63122
Phone: (314) 645-4500
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Marissa Lynn Saengsamran, APRN, BC is a gerontology nurse practitioner in Saint Louis, MO with 20 years of experience. Marissa Lynn Saengsamran, APRN, BC NPI is 1609931963. 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:

816 S KIRKWOOD RD STE 210
SAINT LOUIS, MO
ZIP 63122-056
Phone: (314) 645-4500
Fax: (314) 645-5907

The NPI 1609931963 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 12/27/2006 and was last updated on 12/30/2021.

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	363LG0600X	Nurse Practitioner	Gerontology	2001015646	MISSOURI	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: 11/14/2023

NPI Synchronization or Removal

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