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MARRISA MODELL
NPI 1942016506
Student in an Organized Health Care Education/Training Program in Canton, MI

Active since December 09, 2024
43825 MICHIGAN AVE, CANTON, MI 48188(734) 397-3088(734) 397-0078 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marrisa Modell NPPES

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

MARRISA MODELL (NPI 1942016506) is an individual student in an organized health care education/training program in Canton, Michigan and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1942016506
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameMARRISA MODELL
Location Address43825 MICHIGAN AVECanton, MI 48188-2551
Mailing Address10958 Oak Ln Apt 6216Van Buren Township, MI 48111-4377 · (734) 720-2933
Phone(734) 397-3088
Fax(734) 397-0078
Sole ProprietorNo
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 8, 2024
✔ NPI 1942016506 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.
43825 MICHIGAN AVE, Canton, MI 48188
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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.

VANESSA LYNN SANDERS RN
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
FLORENCE IGBAWUA
Social Worker
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. JONATHAN AARON KOZIEL NP
Family Medicine
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KENNAYA YAUQUAN DAVIS LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. TYLER MANNS
Counselor (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MANDY GRAHAM
Peer Specialist
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
MR. ROY HELTON LPN
Licensed Practical Nurse
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088
KELLI HACKEL
Registered Nurse (Addiction (Substance Use Disorder))
43825 MICHIGAN AVE
CANTON, MI 48188
Wayne County (734) 397-3088

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 Modell's NPI number?

The NPI number for Marrisa Modell is 1942016506. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Marrisa Modell located?

Marrisa Modell practices at 43825 Michigan Ave, Canton, MI 48188. The listed phone number is (734) 397-3088.

What is Marrisa Modell'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 Marrisa Modell was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.