Individual provider · Type 1 NPI
Marisa Medina, APRN
Family Nurse Practitioner · Channahon, IL
NPI number
1891256517
Active
Practice location
24735 W Eames St Unit 10
Channahon, IL 60410-8712
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 277001697 (IL) |
Family Nurse Practitioner: Definition to come...
Other family nurse practitioner providers in Channahon
About NPI 1891256517
Marisa Medina, APRN's National Provider Identifier is 1891256517, issued on Mar 26, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Channahon, IL. The record was last updated on Oct 16, 2026.