| Doctor Name: | MARISSA JANE PATRICK |
| NPI Number: | 1033534334 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 101.0116285 |
| Business Practice Address: | 14 N Main St Ste 4002 Barre, VT - 056414197 |
| Business Phone Number: | 8024792546 |
| Business Fax Number: | 8024791346 |
| Mailing Address: | Po Box 547, Att: Cmvc Finance Dept BARRE |
| State: | VT |
| Postal Code: | 056410547 |
| Phone Number: | 8024792546 |
| Fax Number: | 8024791346 |
| NPI Enumeration Date: | 02/23/2014 |
| NPI Last Update Date: | 10/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LG0600X |
| License Number: | 101.0116285 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | VT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Gerontology |
| Taxonomy Definition: | |