Individual
MARISSA CASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNP, ARNP, FNP-BC
Contact information
Practice address
1481 E AVE, LADORA, IA 52251-7508
(319) 930-1071
Mailing address
1481 E AVE, LADORA, IA 52251-7508
(319) 930-1071
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A156278
IA
Other
Enumeration date
10/16/2019
Last updated
01/19/2020
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