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MARISSA BOIRE
NPI 1629784772
Student in an Organized Health Care Education/Training Program in Waterford, CA

Active since January 23, 2023
108 DOCKSIDE DR, WATERFORD, CA 95386(209) 728-4508 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marissa Boire NPPES

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

MARISSA BOIRE (NPI 1629784772) is an individual student in an organized health care education/training program in Waterford, California and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1629784772
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMARISSA BOIRE
Location Address108 DOCKSIDE DRWaterford, CA 95386-8840
Mailing Address108 Dockside DrWaterford, CA 95386-8840 · (209) 728-4508
Phone(209) 728-4508
Sole ProprietorYes
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 23, 2023
✔ NPI 1629784772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
108 DOCKSIDE DR, Waterford, CA 95386
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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 Boire's NPI number?

The NPI number for Marissa Boire is 1629784772. It was assigned to this individual provider in the NPPES registry on January 23, 2023.

Where is Marissa Boire located?

Marissa Boire practices at 108 Dockside Dr, Waterford, CA 95386. The listed phone number is (209) 728-4508.

What is Marissa Boire'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 Boire was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.