Marissa Moffitt
Student in an Organized Health Care Education/Training Program in Winston Salem, NC. Individual provider (NPI-1).
NPI number1619810116
StatusActive
Last updated in NPPESApr 10, 2026
Details
- NPI
- 1619810116
- Entity type
- Individual (NPI-1)
- Name
- Marissa Moffitt
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 10, 2026
- Certification date
- Apr 10, 2026
- Last updated
- Apr 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | NC | Yes |
Practice location
Atrium Health Wake Forest Baptist1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone 336-716-4311 · Fax 336-716-7595
Mailing address
Atrium Health Wake Forest Baptist1 Medical Center Blvd
Winston Salem, NC 27157-0001
Phone 336-716-4311 · Fax 336-716-7595
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