MARISSA CATHLYN WILK NP NPI 1649861253

NPI Information

  • NPI: 1649861253
  • Provider Name: MARISSA CATHLYN WILK, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • Address: 4104 JUNIUS ST
    DALLAS, TX
    ZIP 75246
  • Phone: (972) 707-7782

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NPI Details

Marissa Cathlyn Wilk, NP is a family nurse practitioner in Dallas, TX. Marissa Cathlyn Wilk, NP NPI is 1649861253. 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:

4104 JUNIUS ST
DALLAS, TX
ZIP 75246-427
Phone: (972) 707-7782

The enumeration date for this NPI number is 1/27/2021 and was last updated on 1/27/2021.

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
1363LF0000XNurse PractitionerFamily1018093TEXASYes

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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