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

Marissa Mirakian

Individual provider Nurse Practitioner · NPI 1679053706

Marissa Mirakian is a Nurse Practitioner in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2018.

Licensed in
MO
In the registry since
2018

Practice location Address checks out

2401 Gillham Rd
Kansas City, MO 64108
Phone: (816) 302-8547
Show map & directions

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2018032917 (MO)

Record details

NPI number1679053706
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESSeptember 24, 2018

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