Individual
MARISSA DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1980 SE BLUE PKWY STE 2320, LEES SUMMIT, MO 64063-1102
(816) 607-2950
Mailing address
6718 W 157TH TER, OVERLAND PARK, KS 66223-3578
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TMP-162696
KS
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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