Provider Demographics
NPI:1073827705
Name:MARCHISELLO, ELIZABETH SENSENIG
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:SENSENIG
Last Name:MARCHISELLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8617 N UTICA AVE
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64153-1682
Mailing Address - Country:US
Mailing Address - Phone:816-612-9715
Mailing Address - Fax:
Practice Address - Street 1:8617 N UTICA AVE
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64153-1682
Practice Address - Country:US
Practice Address - Phone:816-612-9715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-05
Last Update Date:2010-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
177F00000X, 372500000X, 372600000X, 3747P1801X, 374U00000X, 376J00000X
MO374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
No177F00000XOther Service ProvidersLodging
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No376J00000XNursing Service Related ProvidersHomemaker