Individual
MARISSA RAE SIMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
633 3RD AVE RM 9B, NEW YORK, NY 10017-0091
(720) 666-4739
Mailing address
9110 E NICHOLS AVE STE 150, CENTENNIAL, CO 80112-3450
(720) 666-4739
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1142299
TX
363L00000X
Nurse Practitioner
26NJ15066200
NJ
363L00000X
Nurse Practitioner
Primary
F310799-01
NY
363L00000X
Nurse Practitioner
LP-0010943
DE
363L00000X
Nurse Practitioner
NP500018563
DC
363L00000X
Nurse Practitioner
R266020
MD
Other
Enumeration date
10/13/2022
Last updated
10/24/2025
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