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

MARYSSA FAIRBANKS, PA

Active

MARYSSA FAIRBANKS, PA is a Physician Assistant healthcare provider located in KINGMAN, Arizona. NPI 1891653804 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · KINGMAN, AZ

Registration Details

NPI Number
1891653804
Provider Type
Individual
Gender
Female
NPI Issued
Jan 10, 2026 (0.40826879372 yrs)
Last Updated
Jan 10, 2026

Practice Information

Address
1739 E BEVERLY AVE STE 102
KINGMAN, AZ, 864093593
Browse AZ providers · Browse ZIP 86409
Phone
9286818693
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in KINGMAN, AZ

Name Credential NPI
SHARON ELLEN OMALLEY PA C 1174546360
TROY ALLEN DAVISON 1114023595
MRS. JAMIE LYNN GILLETTE PA-C 1538354162
ANN MARIE GARIBALDI PA-C 1235314089
MS. JENNIFER LAUREN AZBILL PA-C 1225381858
MS. JUVY ESCALANTE PA 1053650416
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.