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Individual

MARISSA BONE

Active
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Individual

MARISSA BONE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
163WC1600X
Continuing Education/Staff Development Registered Nurse
2018025751
MO
363L00000X
Nurse Practitioner
2025003389
MO
363LF0000X
Family Nurse Practitioner
Primary
2025003389
MO

Other

Enumeration date
01/23/2025
Last updated
02/09/2026
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