Individual provider · Type 1 NPI
Marissa Rae Simon, NP
Nurse Practitioner · New York, NY
Practice location
633 3rd Ave Rm 9B
New York, NY 10017-0091
Mailing address
6400 S Fiddlers Green Cir Ste 300
Greenwood Village, CO 80111-4955
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 15067 (CT) |
| Nurse Practitioner | 363L00000X | SP034926 (PA) |
| Nurse Practitioner | 363L00000X | 1142299 (TX) |
| Nurse Practitioner | 363L00000X | 101.0139275 (VT) |
| Nurse Practitioner | 363L00000X | LP-0010943 (DE) |
| Nurse Practitioner Primary | 363L00000X | F310799-01 (NY) |
| Nurse Practitioner | 363L00000X | R266020 (MD) |
| Nurse Practitioner | 363L00000X | NP500018563 (DC) |
| Nurse Practitioner | 363L00000X | 26NJ15066200 (NJ) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1114643822
Marissa Rae Simon, NP's National Provider Identifier is 1114643822, issued on Oct 13, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in New York, NY. The record was last updated on Jul 30, 2026.