Marissa R Leaversuch, CPNP
Nurse Practitioner, Pediatrics in Revere, Massachusetts
1538318993- Practice location
- 280 Beach Street, Revere, MA 02151
- Phone
- 781-289-5057
- Fax
- 781-289-4485
- Last updated
- July 3, 2019
Marissa Rose Leaversuch is a Nurse Practitioner, Pediatrics based in Revere, MA. Marissa Rose Leaversuch practices in Revere, MA and has the professional credentials of CPNP. The NPI Number for Marissa Rose Leaversuch is 1538318993 and holds a License No. RN260274 (MA). The current practice location address for Marissa Rose Leaversuch is 280 Beach Street, Revere, MA 02151 and can be reached out via phone at 781-289-5057 and via fax at 781-289-4485.
Provider Profile Details
- NPI Number
- 1538318993
- Provider Name
- Marissa Rose Leaversuch
- Credential
- CPNP
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 280 Beach Street, Revere, MA 02151
- Phone Number
- 781-289-5057
- Fax Number
- 781-289-4485
- Primary Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2008
- Last Update Date
- July 3, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 280 Beach Street
Revere, MA 02151 - City
- Revere
- State
- Massachusetts
- Zip
- 02151
- Phone Number
- 781-289-5057
- Fax Number
- 781-289-4485
Provider Business Mailing Address Details
- Address
- 280 Beach Street
Revere, MA 02151 - City
- Revere
- State
- MA
- Zip
- 02151
- Phone Number
- 781-289-5057
- Fax Number
- 781-289-4485
License Information
- License Number
- RN260274
- License State
- MA
- Taxonomy
- Nurse Practitioner, Pediatrics · 363LP0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Pediatrics providers near Revere, MA
View all Nurse Practitioner, Pediatrics providers in Revere →Frequently Asked Questions
What is the NPI number of Marissa R Leaversuch, CPNP?
The NPI number of Marissa R Leaversuch, CPNP is 1538318993. It was assigned on September 10, 2008 and is currently active in the NPPES registry.
What is the specialty of Marissa R Leaversuch, CPNP?
Marissa R Leaversuch, CPNP is registered under the primary taxonomy Nurse Practitioner, Pediatrics (code 363LP0200X), licensed in MA under license number RN260274.
Where does Marissa R Leaversuch, CPNP practice?
The practice location is 280 Beach Street, Revere, MA 02151. The office can be reached at 781-289-5057 (phone) or 781-289-4485 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1538318993 directly on the NPPES registry website.