Provider Demographics
NPI:1730368135
Name:CABE, MARISA SNEED
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:SNEED
Last Name:CABE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1188 SKYLAND DR
Mailing Address - Street 2:
Mailing Address - City:SYLVA
Mailing Address - State:NC
Mailing Address - Zip Code:28779-8002
Mailing Address - Country:US
Mailing Address - Phone:828-339-2273
Mailing Address - Fax:828-339-2274
Practice Address - Street 1:73 KAISER WILNOTY RD
Practice Address - Street 2:
Practice Address - City:CHEROKEE
Practice Address - State:NC
Practice Address - Zip Code:28719
Practice Address - Country:US
Practice Address - Phone:828-554-6240
Practice Address - Fax:828-497-8178
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC0050-03614363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0050-03614OtherSTATE LICENSE