Individual
MRS. MARISA L MCCUNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5315
Mailing address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5315
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209-008304
IL
Other
Enumeration date
09/09/2010
Last updated
04/23/2021
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