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

Individual provider Medical Physician Assistant · NPI 1740213727

Marissa Amber Van Hennik, PA is a Physician Assistant in Waterbury, Connecticut. Qualified in 2002, 24 years ago. Practices with Urgent Care Medical Center LLC, a 51-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
24
Licensed in
CT
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

56 Franklin St
Waterbury, CT 06706-1221
Phone: (203) 709-6004
Fax: (203) 709-3700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 001324 (CT)

Record details

NPI number1740213727
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 10, 2006
Last updated in NPPESSeptember 12, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Urgent Care Medical Center Llc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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