Individual provider · Type 1 NPI

Marissa Pederson, NP

Family Nurse Practitioner · La Crosse, WI

NPI number 1447865142 Active

Practice location

1910 South Ave
La Crosse, WI 54601-5467

Mailing address

1836 South Ave
La Crosse, WI 54601-5429

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000X10360-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1447865142

Marissa Pederson, NP's National Provider Identifier is 1447865142, issued on Sep 10, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in La Crosse, WI. The record was last updated on Sep 16, 2026.