DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: MARISSA HAKES RN, CNM

MEDICARE: MARISSA HAKES RN, CNM
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
1367A00000XAdvanced Practice MidwifeNY
2163W00000XRegistered Nurse750088NY

General Provider Information

NPI Number : 1164107850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA HAKES RN, CNM
Provider Business Mailing Address
First Line : 4900 BROAD RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-2265
Country : US
Telephone Number : 315-492-5875
Fax Number :
Provider Business Practice Location Address
First Line : 4900 BROAD RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13215-2265
Country : US
Telephone Number : 315-492-5011
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2023
Last Update Date : 03/13/2026

Similar Medicare Providers

1386582468 — PATRICIA ANN GUTCHESS
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5011
Practice Fax:
1922075407 — LISA M ROBERT CRNA
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5522
Practice Fax:
1336143221 — DAVID C CANFIELD MD
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5522
Practice Fax:
1295739191 — SOO HURH MD
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5522
Practice Fax:
1386648285 — JOSEPH MORA MD
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5522
Practice Fax:
1821092727 — BARTHOLEMEW NATOLI MD
Practice Location Address:
4900 BROAD RD
SYRACUSE, NY
13215-2265
Practice Phone: 315-492-5522
Practice Fax:

Directions to “ MARISSA HAKES RN, CNM” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.