MARRISA SHELLEY KUBA RN, CRNP, MS
NPI 1821292954
Nurse Practitioner - Pediatrics in Philadelphia, PA

Q: What is Marrisa Kuba's NPI number?

The NPI number for Marrisa Kuba is 1821292954. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Q: What is Marrisa Kuba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Marrisa Kuba was last updated on September 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 13, 2007

2100 S 24TH ST, PHILADELPHIA, PA 19145(215) 952-8611 Get Directions Write a Review

NPPES record last updated: September 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Marrisa Shelley Kuba Rn, Crnp, Ms NPPES

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

MARRISA SHELLEY KUBA RN, CRNP, MS (NPI 1821292954) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP011636) and active in the NPI registry since June 2007.

NPPES Registry Identity

NPI1821292954

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMARRISA SHELLEY KUBACredential: RN, CRNP, MS

Location Address2100 S 24TH STPhiladelphia, PA 19145-3222

Mailing Address2100 S 24th StPhiladelphia, PA 19145-3222 · (215) 952-8611

Phone(215) 952-8611

Sole ProprietorYes

Enumeration DateJune 13, 2007

Last NPPES UpdateSeptember 7, 2015

✔ NPI 1821292954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in PA · SP011636

Also ListedRegistered NurseTaxonomy 163W00000X · License RN287003L (PA)

2100 S 24TH ST, Philadelphia, PA 19145

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Other Providers at the Same Location NPPES 2

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

UNIVERSAL VARE CHARTER SCHOOL

Local Education Agency (LEA)

2100 S 24TH ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 952-8611

VARE CHARTER SCHOOL

Nurse Practitioner (Pediatrics)

2100 S 24TH ST
PHILADELPHIA, PA 19145

Philadelphia County (215) 952-8520

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 Marrisa Kuba's NPI number?

The NPI number for Marrisa Kuba is 1821292954. It was assigned to this individual provider in the NPPES registry on June 13, 2007.

Where is Marrisa Kuba located?

Marrisa Kuba practices at 2100 S 24th St, Philadelphia, PA 19145. The listed phone number is (215) 952-8611.

What is Marrisa Kuba's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

When was this NPI record last updated?

The NPPES record for Marrisa Kuba was last updated on September 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.