Individual provider · Type 1 NPI
Marissa Nicole Maeder
Student in an Organized Health Care Education/Training Program · Malta, IL
NPI number
1275068660
Active
Practice location
205 S 6th St
Malta, IL 60150-9703
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Other Specialist/Technologist | 246Z00000X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
About NPI 1275068660
Marissa Nicole Maeder's National Provider Identifier is 1275068660, issued on Apr 24, 2017. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Malta, IL. The record was last updated on Apr 24, 2017.