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MARISSA N BERAZA
NPI 1295404564
Student in an Organized Health Care Education/Training Program in Kalamazoo, MI

Active since September 09, 2021
4010 W MICHIGAN AVE APT 20, KALAMAZOO, MI 49006(269) 674-9615 Get Directions Write a Review

NPPES record last updated: September 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 30, 2021, Sep 9, 2021 (2 updates tracked since 2021).

About Marissa N Beraza NPPES

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

MARISSA N BERAZA (NPI 1295404564) is an individual student in an organized health care education/training program in Kalamazoo, Michigan and active in the NPI registry since September 2021.

NPPES Registry Identity

NPI1295404564
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA N BERAZA
Location Address4010 W MICHIGAN AVE APT 20Kalamazoo, MI 49006-5826
Mailing Address4010 W Michigan Ave Apt 20Kalamazoo, MI 49006-5826 · (269) 674-9615
Phone(269) 674-9615
Sole ProprietorNo
Enumeration DateSeptember 9, 2021
Last NPPES UpdateSeptember 30, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1295404564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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 · Athletic TrainerTaxonomy 2255A2300X
4010 W MICHIGAN AVE APT 20, Kalamazoo, MI 49006
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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 Beraza's NPI number?

The NPI number for Marissa Beraza is 1295404564. It was assigned to this individual provider in the NPPES registry on September 9, 2021.

Where is Marissa Beraza located?

Marissa Beraza practices at 4010 W Michigan Ave Apt 20, Kalamazoo, MI 49006. The listed phone number is (269) 674-9615.

What is Marissa Beraza'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 Beraza was last updated on September 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.