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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARISSA LYNCH

Active

MARISSA LYNCH is a Nurse Practitioner healthcare provider located in FENNIMORE, Wisconsin. NPI 1790460632 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · FENNIMORE, WI

Registration Details

NPI Number
1790460632
Provider Type
Individual
Gender
Female
NPI Issued
Jun 19, 2023 (3.1479697200245 yrs)
Last Updated
Sep 5, 2023
Licenses
14351 (WI)
A174764 (IA)

Practice Information

Address
770 LINCOLN AVE STE 5
FENNIMORE, WI, 538091563
Browse WI providers · Browse ZIP 53809
Phone
6084851352
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner

Other Nurse Practitioner Providers in FENNIMORE, WI

Name Credential NPI
ALICIA CLEVEN NP 1750763603
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.