Marissa Pangan, FNP-C
Nurse Practitioner, Family in Spring, TX. Individual provider (NPI-1).
NPI number1053907451
StatusActive
Last updated in NPPESSep 19, 2024
Details
- NPI
- 1053907451
- Entity type
- Individual (NPI-1)
- Name
- Marissa Pangan
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2020
- Certification date
- Sep 19, 2024
- Last updated
- Sep 19, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 1022819 | TX | Yes |
Practice location
3466 Discovery Creek BlvdSpring, TX 77386-7125
Phone 281-440-5300
Mailing address
3466 Discovery Creek Blvd Ste 600Spring, TX 77386-7129
Phone 281-440-5300
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