MARISA GARDNER PA-C
NPI 1780979971
Physician Assistant in Manistee, MI

Active since June 15, 2011
1293 E PARKDALE AVE, MANISTEE, MI 49660(231) 398-1735 Get Directions Write a Review

NPPES record last updated: August 21, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Marisa Gardner Pa-c NPPES

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

MARISA GARDNER PA-C (NPI 1780979971) is an individual physician assistant in Manistee, Michigan, licensed in Michigan (5601006014) and active in the NPI registry since June 2011. She maintains a secondary practice location in Coconut Creek.

NPPES Registry Identity

NPI1780979971
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARISA GARDNERCredential: PA-C
Location Address1293 E PARKDALE AVEManistee, MI 49660
Mailing Address1293 E Parkdale Ave Ste 2300bManistee, MI 49660-8989 · (231) 398-1735
Sole ProprietorNo
Enumeration DateJune 15, 2011
Last NPPES UpdateAugust 21, 2019
NPI 1780979971 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in MI · 5601006014 Licensed in FL · PA9108031
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1293 E PARKDALE AVE, Manistee, MI 49660

Other Names 1

Former Name (1)Marisa Wortley

Secondary Practice Location 1

Location 15300 W Hillsboro Blvd, Suite 107Coconut Creek, FL 33073-4395 · Phone (954) 725-4141

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
1293 E PARKDALE AVE, STE 2300B
MANISTEE, MI 49660
Pediatrics
1293 E PARKDALE AVE, SUITE 1200
MANISTEE, MI 49660
Nurse Practitioner (Family)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Physician Assistant (Medical)
1293 E PARKDALE AVE
MANISTEE, MI 49660
Legal Medicine
1293 E PARKDALE AVE, SUITE 2500
MANISTEE, MI 49660
Surgery
1293 E PARKDALE AVE
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE
MANISTEE, MI 49660
Obstetrics & Gynecology
1293 E PARKDALE AVE, SUITE 1200A
MANISTEE, MI 49660

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 Marisa Gardner's NPI number?

The NPI number for Marisa Gardner is 1780979971. It was assigned to this individual provider in the NPPES registry on June 15, 2011. The provider is also known as Marisa Wortley.

Where is Marisa Gardner located?

Marisa Gardner practices at 1293 E Parkdale Ave, Manistee, MI 49660. The listed phone number is (231) 398-1735.

What is Marisa Gardner's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Marisa Gardner was last updated on August 21, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.