Marissa Lynn Saengsamran in Manitowoc - Gerontology
Marissa Lynn Saengsamran - NPI 1609931963
Marissa Lynn Saengsamran is a Gerontology in Manitowoc, Wisconsin. Marissa Lynn Saengsamran practices all healthcare services and medical treatments related to Gerontology. The NPI Number for Marissa Lynn Saengsamran is 1609931963. The last update date is 2021-12-30.
Marissa Lynn Saengsamran's current location address is 801 York St, Manitowoc, Wisconsin. You can contact this provider via phone number 9206639008 and fax number 9206841439. The mailing address for Marissa Lynn Saengsamran is 801 York St, Manitowoc, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Lynn Saengsamran |
|---|---|
| Address | 801 York St, Manitowoc, Wisconsin |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
| Sole Proprietor | N |
| Credentials | APRN, BC |
NPI Number Detail
| NPI Number | 1609931963 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2021-12-30 |
Provider Mailing Address Detail
| Address | 801 York St |
|---|---|
| City | Manitowoc |
| State | Wisconsin (WI) |
| Post Code | 542204630 |
| Phone Number | 9206639008 |
| Fax Number | 9206841439 |
Provider's Primary Taxonomy Detail
| Speciality | Gerontology |
|---|---|
| Taxonomy | 363Lg0600X |
| Licence No | 2001015646 |
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Definition: An advanced practice registered nurse expert in providing care to older adult patients. |
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What is the unique 10-digit identification code assigned to Marissa Lynn Saengsamran by the Centers for Medicare & Medicaid Services?
The Marissa Lynn Saengsamran has been issued the NPI (National Provider Identifier) 1609931963, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Marissa Lynn Saengsamran is physically located?
The Marissa Lynn Saengsamran is situated at the following address: 801 York St, Manitowoc, WI 542204630.
What is Marissa Lynn Saengsamran's specialized field of practice, and what is the corresponding taxonomy classification code?
The Marissa Lynn Saengsamran's area of specialization is Gerontology, and the corresponding taxonomy code that categorizes this field of practice is 363Lg0600X.
On what date did Marissa Lynn Saengsamran receive its 1609931963 assignment from the Centers for Medicare & Medicaid Services?
The Marissa Lynn Saengsamran was assigned its 1609931963 on 2006-12-27, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Marissa Lynn Saengsamran most recently updated?
The details pertaining to the Marissa Lynn Saengsamran, including its address, specialty, and other relevant information, were last refreshed on 2021-12-30.
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