Active NPIIndividual provider

Marissa Lavin, APRN

Nurse Practitioner, Family in Stratford, Connecticut

NPI Number1952855942
Practice location
95 Armory RD, Stratford, CT 06614-1753
Fax
203-384-4034
Last updated
January 11, 2017

Marissa Lavin is a Nurse Practitioner, Family based in Stratford, CT. Marissa Lavin practices in Stratford, CT and has the professional credentials of APRN. The NPI Number for Marissa Lavin is 1952855942 and holds a License No. 6635 (CT). The current practice location address for Marissa Lavin is 95 Armory RD, Stratford, CT 06614-1753 and can be reached out via phone at 203-384-3388 and via fax at 203-384-4034.

Provider Profile Details

NPI Number
1952855942
Provider Name
Marissa Lavin
Credential
APRN
Provider Entity Type
Individual
Gender
Female
Address
95 Armory RD, Stratford, CT 06614-1753
Phone Number
203-384-3388
Fax Number
203-384-4034
Primary Taxonomy
Nurse Practitioner, Family · 363LF0000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2016
Last Update Date
January 11, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
95 Armory RD
Stratford, CT 06614-1753
Zip
06614-1753
Phone Number
203-384-3388
Fax Number
203-384-4034
Stratford, CT 06614Get directions →

Provider Business Mailing Address Details

Address
C/O Northeast Medical Group, INC.
226 Mill Hill Ave., 3RD Floor
Bridgeport, CT 06610-2826
City
Bridgeport
State
CT
Zip
06610-2826
Phone Number
203-384-3388

License Information

License Number
6635
License State
CT
Taxonomy
Nurse Practitioner, Family · 363LF0000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Marissa Lavin, APRN?

The NPI number of Marissa Lavin, APRN is 1952855942. It was assigned on August 8, 2016 and is currently active in the NPPES registry.

What is the specialty of Marissa Lavin, APRN?

Marissa Lavin, APRN is registered under the primary taxonomy Nurse Practitioner, Family (code 363LF0000X), licensed in CT under license number 6635.

Where does Marissa Lavin, APRN practice?

The practice location is 95 Armory RD, Stratford, CT 06614-1753. The office can be reached at 203-384-3388 (phone) or 203-384-4034 (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 1952855942 directly on the NPPES registry website.

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