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

Marissa Nicole Edwards, CPNP-PC

Individual provider Pediatric Nurse Practitioner · NPI 1811593775

Marissa Nicole Edwards, CPNP-PC is a Pediatric Nurse Practitioner in East Syracuse, New York. Licensed in New York. Registered with an NPI since 2020.

Licensed in
NY
In the registry since
2020
Specialties on file
3

Practice location Address checks out

6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509
Phone: (315) 471-2646
Fax: (315) 471-1762
Show map & directions

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

Specialties & licences

Pediatric Nurse Practitioner (primary) Taxonomy 363LP0200X · Licence 383174 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence F383174-01 (NY)
Pediatric Nurse Practitioner Taxonomy 363LP0200X · Licence F383174 (NY)

Record details

NPI number1811593775
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPNP-PC
Sole proprietorNo
NPI enumeratedDecember 7, 2020
Last updated in NPPESMay 22, 2025
Certification dateMay 22, 2025

Other providers in East Syracuse