Individual
MARISSA LEIGH ANN STANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CCRN, APRN
Contact information
Practice address
516 JACKSON RD, BOONVILLE, MO 65233-2845
(660) 882-3585
(660) 882-3907
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2021024542
MO
363LF0000X
Family Nurse Practitioner
Primary
2026003881
MO
Other
Enumeration date
12/29/2025
Last updated
02/16/2026
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