Individual
JERRI MARIASH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Mailing address
1900 CENTRACARE CIR, SAINT CLOUD, MN 56303-5000
(320) 654-3630
(320) 654-3657
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
R1016925
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0703558
MEDICA HEALTH PLANS
—
01
—
1009883
PREFERRED ONE
—
01
—
1080009
ARAZ GROUP AMERICAS PPO
—
01
—
171683
UCARE
—
01
—
279723200
MEDICAL ASSISTANCE
—
01
—
50A58WE
BLUE CROSS BLUE SHIELD
—
01
—
HP26276
HEALTH PARTNERS
—
Enumeration date
11/08/2005
Last updated
03/07/2023
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