Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Martin, FNP-BC

Individual provider Nurse Practitioner · NPI 1871417790

Marisa Martin, FNP-BC is a Nurse Practitioner in South Jordan, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2026
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

See every abbreviation used in this directory →

Practice location Address checks out

10808 S Riv Frnt Pkwy Ste 3133
South Jordan, UT 84095-5759
Phone: (325) 939-3835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 12578284-4405 (UT)

Record details

NPI number1871417790
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorYes
NPI enumeratedAugust 5, 2026
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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