Individual
MARISSA LORENA WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2900 S WISCONSIN AVE, RICE LAKE, WI 54868-8578
(715) 997-3915
Mailing address
719 W HAMILTON AVE STE B, EAU CLAIRE, WI 54701-6970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13864-33
WI
363LF0000X
Family Nurse Practitioner
Primary
13864-33
WI
Other
Enumeration date
02/17/2023
Last updated
01/12/2026
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