Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA NICOLE MAEDER
Active Sole ProprietorMARISSA NICOLE MAEDER is a Student (Health Education/Training) healthcare provider located in MALTA, Illinois. NPI 1275068660 is currently active in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · MALTA, IL
Registration Details
- NPI Number
- 1275068660
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 24, 2017 (9.2727641942467 yrs)
- Last Updated
- Apr 24, 2017
- Sole Proprietor
- Yes
Practice Information
- Address
-
205 S 6TH STMALTA, IL, 601509703Browse IL providers · Browse ZIP 60150
- Phone
- 8157618707
- Primary Specialty
-
Student (Health Education/Training)
390200000X
- Additional Specialty
- Student (Health Education/Training)
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.