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NPI Code Detail

MEDICARE: MARRISSA PRITCHARD

MEDICARE: MARRISSA PRITCHARD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1114595998
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARRISSA PRITCHARD
Provider Business Mailing Address
First Line : 1440 E EMPIRE AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2020
Country : US
Telephone Number : 269-487-9820
Fax Number :
Provider Business Practice Location Address
First Line : 1440 E EMPIRE AVE
Second Line :
City : BENTON HARBOR
State : MI
Zip : 49022-2020
Country : US
Telephone Number : 269-487-9820
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2021
Last Update Date : 02/18/2026

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Directions to “ MARRISSA PRITCHARD ” Practice Location

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