Individual
ALYSSA DANIELLE MARSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP, AGNP, BMHNP
Contact information
Practice address
1400 FORUM BLVD STE 7A, COLUMBIA, MO 65203-1997
(573) 200-6024
(573) 224-1862
Mailing address
1400 FORUM BLVD, COLUMBIA, MO 65203-1938
(573) 200-6024
(573) 224-1862
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2019040442
MO
363LG0600X
Gerontology Nurse Practitioner
2019001529
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
2019040441
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
G173571
IA
Other
Enumeration date
11/11/2020
Last updated
03/09/2026
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