Walsh, Marissa Lynn

Walsh, Marissa Lynn is an individual health care provider with primary practice located at 430 Pennsylvania Ave , Glen Ellyn IL 60137-4464. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Walsh, Marissa Lynn can be contacted via phone (630) 545-7855.

Contact Information

Primary practice address
430 Pennsylvania Ave Glen Ellyn IL 60137-4464
Phone: (630) 545-7855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085006976 Illinois

Profile Details

NPI number 1386115350
LBN Legal business name Walsh, Marissa Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2018
Last updated Jul 28th, 2023 - about 2 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.

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