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Individual

CASEY MARRIOTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
APRN, FNP-C

Contact information

Practice address
26136 US HIGHWAY 59, FAIRFAX, MO 64446-9105
(660) 686-2211
Mailing address
217 W FLORENCE AVE, GLENWOOD, IA 51534-1159
(402) 917-1017

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2026027066
MO

Other

Enumeration date
06/16/2026
Last updated
06/16/2026
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