Marissa Nicole Edwards, CPNP-PC Valid NPI
Individual provider · Pediatric Nurse Practitioner · East Syracuse, NY
- NPI
- 1811593775
- Type
- Individual (Type 1)
- Primary specialty
- Pediatric Nurse Practitioner (Nurse Practitioner)
- Specialty group
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy code
- 363LP0200X
- License number
- 383174 (NY)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-12-07
- Last updated
- 2025-05-22
Practice location
6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509
(315) 471-2646