Provider Demographics
NPI:1346436664
Name:BARBERIO-SAAS, MARISSA KAY (APRN)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:KAY
Last Name:BARBERIO-SAAS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:KAY
Other - Last Name:BARBERIO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APRN
Mailing Address - Street 1:527 MEDICAL PARK DR
Mailing Address - Street 2:STE 108
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9008
Mailing Address - Country:US
Mailing Address - Phone:304-848-2150
Mailing Address - Fax:
Practice Address - Street 1:527 MEDICAL PARK DR
Practice Address - Street 2:STE 108
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9008
Practice Address - Country:US
Practice Address - Phone:304-848-2150
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-20
Last Update Date:2022-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV60123363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV3810010202Medicaid
WV2029383Medicare PIN
WV2029385Medicare PIN
WV3810010202Medicaid
WV2029382Medicare PIN
WV2029384Medicare PIN
WV2029386Medicare PIN