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

Marissa Jacqueline Wagner Edmunds

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1104657261

Marissa Jacqueline Wagner Edmunds is a Student in an Organized Health Care Education/Training Program in Pocatello, Idaho. Registered with an NPI since 2024.

In the registry since
2024
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Pocatello, ID

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1104657261
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2024
Last updated in NPPESAugust 12, 2024
Certification dateAugust 11, 2024

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