Individual
MARISSA JEAN PERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
3415 CUSTER ST STE D, MANITOWOC, WI 54220-4328
(920) 652-9310
Mailing address
3415 CUSTER ST, MANITOWOC, WI 54220-4324
(920) 652-9310
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
244683-30
WI
363L00000X
Nurse Practitioner
Primary
17186-33
WI
Other
Enumeration date
05/15/2025
Last updated
09/02/2025
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