Individual
ERICA GAIL MARRIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1202 E MAIN ST, WILLOW SPRINGS, MO 65793-3588
(417) 469-1820
Mailing address
1202 E MAIN ST, WILLOW SPRINGS, MO 65793-3588
(417) 469-1820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2003015908
MO
363LF0000X
Family Nurse Practitioner
Primary
2017035199
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003015908
MISSOURI STATE BOARD OF NURSING REGISTERED NURSE
MO
01
—
F09171097
AMERICAN ACADEMY OF NURSE PRACTITIONERS CERTIFICAN BOARD FAMILY NURSE PRACTITION
—
Enumeration date
09/13/2017
Last updated
07/21/2022
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