MEDICARE: MARISA BURRELL LPN

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
1	164W00000X	Licensed Practical Nurse	319395	NY
2	164W00000X	Licensed Practical Nurse	44316	CT

General Provider Information

NPI Number	:	1750243077
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARISA BURRELL LPN

Provider Business Mailing Address
First Line	:	45 VALLEY AVE
Second Line	:
City	:	BRIDGEPORT
State	:	CT
Zip	:	06606-3755
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4215 ELY AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2035
Country	:	US
Telephone Number	:	646-886-1899
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/25/2025
Last Update Date	:	11/25/2025

Similar Medicare Providers

1760918775 — CAROL BROWN
Practice Location Address:

4245 ELY AVE
BRONX, NY
10466-2035

Practice Phone: 646-263-3974
Practice Fax:

1770199135 — PAULA PAMELLA SMITH LPN
Practice Location Address:

2035 NEREID AVE
BRONX, NY
10466-1110

Practice Phone: 718-679-6851
Practice Fax:

1861095242 — STEPHANIE LEE NELSON PSYD
Practice Location Address:

1603 YATES AVE APT 4
BRONX, NY
10461-2035

Practice Phone: 724-840-3266
Practice Fax:

1497574446 — EDANTRICE MENALDO
Practice Location Address:

2035 HOBART AVE
BRONX, NY
10461-3903

Practice Phone: 718-844-2628
Practice Fax:

1972326940 — THE S&L STOP LLC
Practice Location Address:

2035 HOBART AVE
BRONX, NY
10461-3903

Practice Phone: 718-844-2628
Practice Fax:

1467305870 — AMANDA LINARES MERCEDES
Practice Location Address:

2035 NEWBOLD AVE APT 7A
BRONX, NY
10462-0661

Practice Phone: 904-888-5235
Practice Fax:

Directions to “ MARISA BURRELL LPN” 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.