Marissa Traub
Marissa Traub is a Nurse Practitioner in Evansville, Indiana. Qualified in 2021, 5 years ago. Practices with Matthew 25 AIDS Services Inc, a 7-clinician group and accepts Medicare assignment. Licensed in Indiana.
- Years since qualifying
- 5
- Licensed in
- IN
- In the registry since
- 2022
Practice location Address checks out
4480 1st AveEvansville, IN 47710-3622
Phone: (812) 425-1525
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Nurse Practitioner (primary) | Taxonomy 363LF0000X · Licence 71012270A (IN) |
|---|
Record details
| NPI number | 1801541396 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | February 14, 2022 |
| Last updated in NPPES | February 16, 2022 |
| Certification date | February 16, 2022 |
| Mailing address | 4480 1st Ave, Evansville, IN 47710-3622 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2021 (5 years in practice) |
| Group practice | Matthew 25 Aids Services Inc — 7 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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