MARISSA WICKLUND
NPI 1033457742
Day Training/Habilitation Specialist in Las Vegas, NV

Q: What is Marissa Wicklund's NPI number?

The NPI number for Marissa Wicklund is 1033457742. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Q: What is Marissa Wicklund's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Wicklund was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 30, 2013

7017 CARMEN BLVD, LAS VEGAS, NV 89128(702) 445-5995 Get Directions Write a Review

NPPES record last updated: January 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marissa Wicklund NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARISSA WICKLUND (NPI 1033457742) is an individual day training/habilitation specialist in Las Vegas, Nevada and active in the NPI registry since January 2013.

NPPES Registry Identity

NPI1033457742

Entity TypeIndividualFemale

Primary Taxonomy373H00000X

Provider Legal NameMARISSA WICKLUND

Location Address7017 CARMEN BLVDLas Vegas, NV 89128-3406

Mailing Address7017 Carmen BlvdLas Vegas, NV 89128-3406 · (702) 445-5995

Phone(702) 445-5995

Sole ProprietorYes

Enumeration DateJanuary 30, 2013

✔ NPI 1033457742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDay Training/Habilitation SpecialistNursing Service Related Providers

Taxonomy Code373H00000X

Definition

Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.

Also ListedHome Health AideTaxonomy 374U00000X

7017 CARMEN BLVD, Las Vegas, NV 89128

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCKY STAR CARE HOME LLC

Assisted Living Facility

7017 CARMEN BLVD
LAS VEGAS, NV 89128

Clark County (702) 755-1800

BARRY D WICKLUND

Day Training/Habilitation Specialist

7017 CARMEN BLVD
LAS VEGAS, NV 89128

Clark County (702) 445-5995

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Marissa Wicklund's NPI number?

The NPI number for Marissa Wicklund is 1033457742. It was assigned to this individual provider in the NPPES registry on January 30, 2013.

Where is Marissa Wicklund located?

Marissa Wicklund practices at 7017 Carmen Blvd, Las Vegas, NV 89128. The listed phone number is (702) 445-5995.

What is Marissa Wicklund's specialty?

The primary specialty registered for this NPI is Day Training/Habilitation Specialist with taxonomy code 373H00000X.

When was this NPI record last updated?

The NPPES record for Marissa Wicklund was last updated on January 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.