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.
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)
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)