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Marissa Penrose
NPI 1336007509 · on the registry since 2026
Practice
- Address
- 392 E 3900 S
Salt Lake City, UT 84107 - Phone
- (385) 347-5303
- Organisation at this address
- Phoenix Rising
Phoenix Rising Treatment, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 171M00000X
171M00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-01-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah