Individual
MARISSA MARIE PASCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2 S MAPLE ST, NORTH PLATTE, NE 69101-5119
(308) 530-7533
Mailing address
2 S MAPLE ST, NORTH PLATTE, NE 69101-5119
(308) 530-7533
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
116374
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
57516559
—
NE
Enumeration date
05/12/2018
Last updated
06/16/2018
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