Early, Marissa
Early, Marissa is an individual health care provider with primary practice located at 450 S Orange Ave , Orlando FL 32801-3383. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Other Service Providers / Community Health Worker, Behavioral Health & Social Service Providers / Counselor, Physician Assistants & Advanced Practice Nursing Providers / Family. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Early, Marissa can be contacted via phone (407) 930-9551.Contact Information
Primary practice address
450 S Orange Ave
Orlando FL 32801-3383
Phone: (407) 930-9551
Fax: (407) 871-9240
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | 9774719 | Florida |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | FB9774719 | Florida |
Other Service Providers / Community Health Worker | 172V00000X | 9774719 | Florida |
Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 9774719 | California |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | FB9774719 | Florida |
Profile Details
NPI number | 1437890878 |
---|---|
LBN Legal business name | Early, Marissa |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 6th, 2022 |
Last updated | Jul 8th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1437890878 | NPPES |
Florida | Other | 9439937 | FBN |
Florida | Other | 114301 | FBN |
Florida | Other | 9774719 | FBN |
Florida | Other | 114301 | FBN |
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