Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA AMBER VAN HENNIK, PA
ActiveMARISSA AMBER VAN HENNIK, PA is a Medical Physician Assistant healthcare provider located in WATERBURY, Connecticut. NPI 1740213727 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · WATERBURY, CT
Registration Details
- NPI Number
- 1740213727
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 10, 2006 (20.052665826519 yrs)
- Last Updated
- Sep 12, 2007
- License
-
001324 (CT)
Practice Information
- Address
-
56 FRANKLIN STWATERBURY, CT, 067061221Browse CT providers · Browse ZIP 06706
- Phone
- 2037096004
- Fax
- 2037093700
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in WATERBURY, CT
| Name | Credential | NPI |
|---|---|---|
| ROSS G UTTER | PA | 1831156249 |
| MR. RICHARD POPE | PA-C | 1114985728 |
| JOHN LUM | PA-C | 1528016441 |
| MICHELLE MARIE LACHANCE | PA | 1154357671 |
| MR. RONALD A FOX | PA-C | 1922036821 |
| ANGELA M BARROWS | PA | 1356370662 |
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.