MARISSA LYNCH
NPI 1790460632
Nurse Practitioner in Fennimore, WI

Q: What is Marissa Lynch's NPI number?

The NPI number for Marissa Lynch is 1790460632. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Q: What is Marissa Lynch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Marissa Lynch was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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 June 19, 2023

770 LINCOLN AVE STE 5, FENNIMORE, WI 53809(608) 485-1352 Get Directions Write a Review

NPPES record last updated: September 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 5, 2023, Jun 19, 2023 (2 updates tracked since 2023).

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About Marissa Lynch NPPES

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

MARISSA LYNCH (NPI 1790460632) is an individual nurse practitioner in Fennimore, Wisconsin, licensed in Wisconsin (14351) and active in the NPI registry since June 2023.

NPPES Registry Identity

NPI1790460632

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMARISSA LYNCH

Location Address770 LINCOLN AVE STE 5Fennimore, WI 53809-1563

Mailing Address2593 County Road M Apt SuiteBoscobel, WI 53805-9517 · (608) 485-1352

Phone(608) 485-1352

Sole ProprietorNo

Enumeration DateJune 19, 2023

Last NPPES UpdateSeptember 5, 20232 updates tracked since enumeration

NPPES CertifiedSeptember 5, 2023

✔ NPI 1790460632 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in WI · 14351✔ Licensed in IA · A174764

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

770 LINCOLN AVE STE 5, Fennimore, WI 53809

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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 Lynch's NPI number?

The NPI number for Marissa Lynch is 1790460632. It was assigned to this individual provider in the NPPES registry on June 19, 2023.

Where is Marissa Lynch located?

Marissa Lynch practices at 770 Lincoln Ave Ste 5, Fennimore, WI 53809. The listed phone number is (608) 485-1352.

What is Marissa Lynch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Marissa Lynch was last updated on September 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.