MARISSA NICOLE MAEDER
NPI 1275068660
Student in an Organized Health Care Education/Training Program in Malta, IL

Active since April 24, 2017

NPPES record last updated: April 24, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Marissa Nicole Maeder NPPES

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

MARISSA NICOLE MAEDER (NPI 1275068660) is an individual student in an organized health care education/training program in Malta, Illinois and active in the NPI registry since April 2017.

NPPES Registry Identity

NPI1275068660
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA NICOLE MAEDER
Location Address205 S 6TH STMalta, IL 60150-9703
Mailing Address205 S 6th St, Po Box 99Malta, IL 60150-9703 · (815) 761-8707
Sole ProprietorYes
Enumeration DateApril 24, 2017
NPI 1275068660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedSpecialist/Technologist, OtherTaxonomy 246Z00000X
205 S 6TH ST, Malta, IL 60150

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 Maeder's NPI number?

The NPI number for Marissa Maeder is 1275068660. It was assigned to this individual provider in the NPPES registry on April 24, 2017.

Where is Marissa Maeder located?

Marissa Maeder practices at 205 S 6th St, Malta, IL 60150. The listed phone number is (815) 761-8707.

What is Marissa Maeder's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Marissa Maeder was last updated on April 24, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.