Walczak, Marissa Lorena

Walczak, Marissa Lorena is an individual health care provider with primary practice located at 1700 W Stout St , Rice Lake WI 54868-5000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Walczak, Marissa Lorena can be contacted via phone (715) 236-8100.

Contact Information

Primary practice address
1700 W Stout St Rice Lake WI 54868-5000
Phone: (715) 236-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 13864-33 Wisconsin

Profile Details

NPI number 1871291906
LBN Legal business name Walczak, Marissa Lorena
Credentials FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 17th, 2023
Last updated Jun 14th, 2023 - about last year

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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