National Provider Identifier
Marissa Iddings, LPN
Marissa Iddings, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Geneva, NY and a listed phone number of (315) 651-7527.
Source: public NPPES record, last updated May 04, 2020. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1245851948
- Provider Type
- Individual
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- May 04, 2020
- Last Updated
- May 04, 2020
Practice Location
- 71 Sherrill St
- Geneva, NY 14456-1156
Phone: (315) 651-7527
Specialties
- Licensed Practical Nurse (164W00000X)
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Biography
Marissa B. Iddings is a licensed practical nurse based in Geneva, New York. Public licensing records list her New York practical nursing license as issued in 2016, and regional provider directories identify her as an LPN serving the Geneva area.
Full Record
- NPI
- 1245851948
- Entity Type
- Individual
- Last Name
- Iddings
- First Name
- Marissa
- Credential
- LPN
- Provider Other Last Name
- Trunzo
- Provider Other First Name
- Marissa
- Provider Other Last Name Type Code
- 5
- Mailing Street Address
- 71 Sherrill St
- Mailing City
- Geneva
- Mailing State
- NY
- Mailing ZIP Code
- 14456-1156
- Mailing Country
- US
- Mailing Phone
- (315) 651-7527
- Practice Street Address
- 71 Sherrill St
- Practice City
- Geneva
- Practice State
- NY
- Practice ZIP Code
- 14456-1156
- Practice Country
- US
- Practice Phone
- (315) 651-7527
- Enumeration Date
- May 04, 2020
- Last Updated
- May 04, 2020
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- May 04, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Licensed Practical Nurse (164W00000X)