Provider Demographics
NPI:1104276468
Name:BARRY, MARISA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:LYNN
Last Name:BARRY
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Gender:F
Credentials:PA-C
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Mailing Address - Street 1:2400 PATTERSON ST STE 400
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1575
Mailing Address - Country:US
Mailing Address - Phone:615-342-5900
Mailing Address - Fax:615-342-5912
Practice Address - Street 1:1340 HAL GREER BLVD
Practice Address - Street 2:ATTN TAMMIE SILVA
Practice Address - City:HUNTINGTON
Practice Address - State:WV
Practice Address - Zip Code:25701-3804
Practice Address - Country:US
Practice Address - Phone:304-399-6727
Practice Address - Fax:304-399-6726
Is Sole Proprietor?:No
Enumeration Date:2016-06-17
Last Update Date:2022-01-04
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant