Individual
MARISSA NICOLE MANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10300 INDIAN CREEK PKWY, OVERLAND PARK, KS 66210-2484
(417) 872-2745
Mailing address
10300 INDIAN CREEK PKWY, OVERLAND PARK, KS 66210-2484
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2024028757
MO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
83496
KS
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/26/2024
Last updated
04/17/2026
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