Marissa P Taylor, PA-C
Marissa P Taylor, PA-C is a Medical Physician Assistant in Fenton, Missouri. Licensed in Illinois and Missouri. Registered with an NPI since 2009.
- Licensed in
- IL, MO
- In the registry since
- 2009
- Specialties on file
- 2
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
714 Gravois Rd Ste 210Fenton, MO 63026-7723
Phone: (636) 660-9850
Fax: (636) 660-9851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2010014127 (MO) |
|---|---|
| Medical Physician Assistant | Taxonomy 363AM0700X · Licence 085003595 (IL) |
Record details
| NPI number | 1598099806 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | September 21, 2009 |
| Last updated in NPPES | August 15, 2022 |
| Certification date | August 15, 2022 |
Other providers in Fenton
-
Mrs. Joy Nicole Bittle, PA-C
714 Gravois Rd Ste 210, Fenton, MO 63026-7723 · (314) 543-5230