MARISSA BROWN (NPI# 1477912186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477912186 |
| Entity Type | Individual |
| Full Name | MARISSA BROWN |
| Other Name | MARISSA ENFIELD |
| Credential | PA-C |
| Practice Address |
401 Phalen Blvd # Ms 41104a Saint Paul MN 55130 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6512547980 |
| Practice Fax Number | 6512547980 |
| Mailing Telephone | 6512547980 |
| Mailing Fax Number | 6512547969 |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2019-03-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11850 Blackfoot St Nw, 270, Coon Rapids, MN 554332578 | 6513121717 | 6513121570 |
| 401 Phalen Blvd # Ms 41104a, Saint Paul, MN 55130 | 6512547980 | 6512547980 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275882755 | Marissa Brown | Dentist | 13869 West Bell Road #103, Surprise, AZ 85374 | 2012-08-30 |
| 1457616997 | Marissa Lyn Brown | Obstetrics & Gynecology | 250 Travelodge Drive, El Cajon, CA 92020 | 2012-07-11 |
| 1194280016 | Marissa Brown | Behavior Technician | 1750 Commerce Center Blvd, Fairborn, OH 45324-6333 | 2019-02-05 |
| 1710483045 | Marissa Brown | Behavior Technician | 1330 Quail Lake Loop Ste 200, Colorado Springs, CO 80906-4651 | 2018-04-04 |
| 1275034571 | Marissa Brown | Behavior Technician | 7297 Ronson Rd Ste H, San Diego, CA 92111-1428 | 2018-02-22 |
| 1528503943 | Marissa Brown | Registered Nurse | 1500 Garden St, 6e, Hoboken, NJ 07030-4492 | 2016-12-20 |
| 1558813493 | Marissa Brown | Developmental Therapist | 345 Greenwood St Ste A, Worcester, MA 01607-1767 | 2016-10-26 |
| 1316173941 | Marissa Perrelli Brown | Social Worker | 595 Thompson Ave, East Haven, CT 06512-2934 | 2009-06-10 |
| Street Address |
401 PHALEN BLVD # MS 41104A |
| City | SAINT PAUL |
| State | MN |
| Zip Code | 55130 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538133038 | Anne M Boller | Colon & Rectal Surgery | 401 Phalen Blvd # Ms 41104a, Saint Paul, MN 55130 | 2006-02-14 |
| 1356785620 | Jennifer Angela Haas | Surgery | 401 Phalen Blvd # Ms 41104a, Saint Paul, MN 55130 | 2013-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164904587 | Confident Care LLC | In Home Supportive Care | 1040 Arkwright Street, Saint Paul, MN 55130 | 2018-09-01 |
| 1881015253 | Lucas Bosco Wanga | Psychologist | 715 Edgerton Street, Merrick Community Services, St. Paul, MN 55130 | 2014-01-02 |
| 1174865570 | Sarang Patel | Internal Medicine | 401 Phalen Blvd # 41103d, Saint Paul, MN 55130 | 2013-03-23 |
| 1427394501 | Zongxee Lee | Registered Nurse | 1072 Payne Ave, St. Paul, MN 55130 | 2012-12-18 |
| 1740532753 | One Stop Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1049 Payne Ave Suite C, St Paul, MN 55130 | 2012-10-15 |
| 1689923997 | Alexis Simmons | Counselor | 402 University Ave East, Suite A-127, Saint Paul, MN 55130 | 2012-08-31 |
| 1689804064 | Group Health Plan, Inc. | Durable Medical Equipment & Medical Supplies | 537 Phalen Blvd, Saint Paul, MN 55130 | 2009-07-21 |
| 1477756534 | Chad Everett Christensen | Chiropractor | 1073 Payne Ave, Saint Paul, MN 55130 | 2007-06-07 |
| 1922219021 | Qwik Urgent Care Clinic | Family Medicine | 1239 Payne Avenue, Saint Paul, MN 55130 | 2007-05-24 |
| 1275743981 | Yia Vang | Technician | 1100 Arkwright St., St. Paul, MN 55130 | 2007-05-23 |
| Find all providers in zip 55130 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1003258690 | Jenny Rebecca Kluznik | Physician Assistant | 1619 Dayton Ave Ste 205, Saint Paul, MN 55104 | 2013-07-23 |
| 1538439534 | Meghan Eileen Goff | Physician Assistant | 212 7th St E, Apt 204, Saint Paul, MN 55101-2373 | 2012-01-06 |
| 1003899527 | Christopher Lawrence Kaye | Physician Assistant | 640 Jackson Street, Saint Paul, MN 55101 | 2005-11-29 |
| 1578113932 | Alyssa Shenyeng Moualee | Physician Assistant | 1239 Payne Ave, Saint Paul, MN 55130-3667 | 2019-09-18 |
| 1790338754 | Mikaela Pierson | Physician Assistant | 153 Cesar Chavez St, Saint Paul, MN 55107-2226 | 2019-07-18 |
| 1508425711 | Sopida N/a Wunder | Physician Assistant | 1983 Sloan Pl Ste 11, Saint Paul, MN 55117-2004 | 2019-06-11 |
| 1780159533 | Andrew Kenneth Gernand | Physician Assistant | 640 Jackson St, Saint Paul, MN 55101-2595 | 2018-10-08 |
| 1205350204 | Soua Vang | Physician Assistant | 1983 Sloan Pl Ste 1, Saint Paul, MN 55117-2095 | 2017-08-01 |
| 1588184634 | Katharine Elizabeth Boyd | Physician Assistant | 333 Smith Ave N, Saint Paul, MN 55102-2344 | 2017-06-20 |
| Find all providers in SAINT PAUL | ||||
| City | SAINT PAUL |
| Zip Code | 55130 |
Please comment or provide details below to improve the information on MARISSA BROWN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.