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

MARISSA NICOLE EDWARDS, CPNP-PC

Active

MARISSA NICOLE EDWARDS, CPNP-PC is a Pediatric Nurse Practitioner healthcare provider located in EAST SYRACUSE, New York. NPI 1811593775 is currently active in the NPPES registry. Verify at CMS.

Pediatric Nurse Practitioner · EAST SYRACUSE, NY

Registration Details

NPI Number
1811593775
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2020 (5.6507772809457 yrs)
Last Updated
May 22, 2025
Licenses
F383174-01 (NY)
F383174 (NY)
383174 (NY)

Practice Information

Address
6711 TOWPATH RD STE 235
EAST SYRACUSE, NY, 130579509
Browse NY providers · Browse ZIP 13057
Phone
3154712646
Fax
3154711762
Primary Specialty
Pediatric Nurse Practitioner
363LP0200X
Additional Specialty
Pediatric Nurse Practitioner
Additional Specialty
Pediatric Nurse Practitioner

Other Pediatric Nurse Practitioner Providers in EAST SYRACUSE, NY

Name Credential NPI
KATHLEEN WALSH P.N.P. 1760641062
HANNAH ELIZABETH THORNTON 1346521929
ARLINDA NEWELL 1386305019
MONTANNA J SMITH PNP 1811730989
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.