Huettman, Marissa

Huettman, Marissa is an individual health care provider with primary practice located at 865 Lincoln Rd Ste 100 , Bettendorf IA 52722-4159. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Huettman, Marissa can be contacted via phone (563) 355-1000.

Contact Information

Primary practice address
865 Lincoln Rd Ste 100 Bettendorf IA 52722-4159
Phone: (563) 355-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X F166983 Iowa

Profile Details

NPI number 1386396398
LBN Legal business name Huettman, Marissa
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2022
Last updated Jan 11th, 2024 - about 10 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386396398 NPPES
Other 104416834 NATIONAL CERTIFICATION CORPORATION

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