Individual
MARISSA ANN EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
899 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(717) 763-0430
(717) 763-9854
Mailing address
899 POPLAR CHURCH RD, CAMP HILL, PA 17011-2206
(177) 630-4307
(717) 763-9854
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA060596
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1036509320004
—
PA
Enumeration date
07/27/2006
Last updated
08/08/2025
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