Individual provider · Type 1 NPI

Marissa Carol Hyatt, AGACNP-BC

Nurse Practitioner · Mooresville, NC

NPI number 1700452943 Active

Practice location

134 Medical Park Rd Ste 200
Mooresville, NC 28117-8527

Call (980) 302-7800 Map

Fax (980) 302-7805

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice locations

116 Taylors Creek St, Mount Holly, NC 28120-9078 · (803) 487-5887
106 Corporate Park Dr Ste 200&300, Mooresville, NC 28117-7133 · (704) 887-4530

Specialties and licenses

Taxonomy	Code	License
Acute Care Nurse Practitioner	363LA2100X	2019015811 (NC)
Nurse Practitioner Primary	363L00000X	5015825 (NC)

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 1700452943

Marissa Carol Hyatt, AGACNP-BC's National Provider Identifier is 1700452943, issued on May 28, 2021. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mooresville, NC. The record was last updated on Mar 9, 2023.