Marissa Marie Sudomoin
NP | Nurse Practitioner - Primary Care | 5+ years Exp
255 W Lancaster Ave, Paoli
Pennsylvania, 19301-1763
484-565-1601
Marissa Marie Sudomoin is a Paoli, Pennsylvania based nurse practitioner with 5 years of experience in Primary Care. She completed her graduation in 2020. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Marissa Marie Sudomoin is SP023134 for Primary Care in Pennsylvania. Her current practice location is 255 W Lancaster Ave, Paoli. Patients can reach her at 484-565-1601. Marissa Marie Sudomoin is NP with specialization in Primary Care and her NPI number (Unique professional ID assigned by NPPES) is 1518624360.
Marissa Marie Sudomoin is educated, certified and licensed to provide comprehensive, chronic, continuous care characterized by a long-term relationship with the patient. Primary Care Nurse Practitioners (PCNPs) screen, diagnose, and treat common acute and chronic medical diseases and conditions. They are also involved in health promotion, screening, and educating about primary prevention.
Complete Profile:
Marissa Marie Sudomoin speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Marissa Marie Sudomoin |
| Specialization: | Primary Care Nurse Practitioner (PCNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 5+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2020 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 255 W Lancaster Ave, Paoli,
Pennsylvania, 19301-1763 |
| Phone: | 484-565-1601 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 3870985864 |
| Enrollment ID: | I20220125001980 |
| NPI Number: | 1518624360 |
| NPI Enumeration Date: | 29 Nov, 2021 |
| NPI Last Update On: | 29 Nov, 2021 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Marissa Marie Sudomoin are as mentioned below.
| License Number | Specialization | State | Status | |
| SP023134 | Primary Care | Pennsylvania | Primary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (390153) | Paoli, PA | Acute Care Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Marissa Marie Sudomoin is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Main Line Healthcare (1951215201) | 748 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Marissa Marie Sudomoin
255 W Lancaster Ave,
Paoli, Pennsylvania |
| Zip: | 19301-1763 |
| Phone Number: | 484-565-1601 |
Patients can reach Marissa Marie Sudomoin at
255 W Lancaster Ave, Paoli, Pennsylvania or can
call to book an appointment on 484-565-1601.
Comments/ Reviews:
Patients can read all the reviews posted for Marissa Marie Sudomoin below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Marissa Marie Sudomoin. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.