Individual provider · Type 1 NPI

Marissa Moffitt

Student in an Organized Health Care Education/Training Program · Winston Salem, NC

NPI number 1619810116 Active

Practice location

Atrium Health Wake Forest Baptist, 1 Medical Center Blvd
Winston Salem, NC 27157-0001

Call (336) 716-4311 Map

Fax (336) 716-7595

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone 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.

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About NPI 1619810116

Marissa Moffitt's National Provider Identifier is 1619810116, issued on Apr 10, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Winston Salem, NC. The record was last updated on Apr 10, 2026.