Healthcare Provider Details

I. General information

NPI: 1194385229
Provider Name (Legal Business Name): MARISA ANNE ISBELL PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARISA ANNE VOOS

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 09/18/2024
Certification Date: 09/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

79 WOODFIN PL STE 208
ASHEVILLE NC
28801-2495
US

IV. Provider business mailing address

79 WOODFIN PL STE 208
ASHEVILLE NC
28801-2495
US

V. Phone/Fax

Practice location:
  • Phone: 828-333-7850
  • Fax: 828-333-7857
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number0010-09213
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number001009213
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: