Marissa Edwards Sheehan, PA-C
Physician Assistant in Buffalo, NY. Individual provider (NPI-1).
NPI number1942777081
StatusActive
Last updated in NPPESJun 1, 2023
Details
- NPI
- 1942777081
- Entity type
- Individual (NPI-1)
- Name
- Miss Marissa Edwards Sheehan
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 26, 2018
- Certification date
- Jun 1, 2023
- Last updated
- Jun 1, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 025620 | NY | Yes |
Practice location
77 Goodell St Ste 340Buffalo, NY 14203-1243
Phone 716-645-9715
Mailing address
429 S. Legion DrBuffalo, NY 14220
Phone 716-480-3834
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