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

Marissa Veronica Medina

Individual provider Driver · NPI 1992580997

Marissa Veronica Medina is a Driver in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023
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Practice location Address checks out

2201 N Cambridge Ave
Milwaukee, WI 53202-1047
Phone: (414) 949-1040
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Driver (primary) Taxonomy 172A00000X (WI)

Record details

NPI number1992580997
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2023
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address777 N Jefferson St Ste 408, Milwaukee, WI 53202-3875

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