MRS. MARINA DEATHERAGE
Nurse Practitioner
Active
Individual
NPI: 1538706858
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Nurse Practitioner - Family | 363LF0000X | No | 209020317 (IL) |
| Nurse Practitioner | 363L00000X | Yes | 10857-033 (WI) |
Frequently Asked Questions
NPI 1538706858 is the National Provider Identifier for MRS. MARINA DEATHERAGE, a Nurse Practitioner provider located in Lake Geneva, WI. This NPI was enumerated on December 5, 2019.
MRS. MARINA DEATHERAGE practices at 146 E GENEVA SQ, Lake Geneva, WI 53147.
Quick Facts
- NPI
- 1538706858
- Type
- Individual
- Enumerated
- Dec 5, 2019
- Last Updated
- Nov 30, 2021
Nearby Providers
-
CARLING JOHNS, DPT
Physical Therapist
-
MRS. ASHLEY BUDRECK, R.N.
Registered Nurse
-
ANNA SHERMAN, OT
Occupational Therapist
-
CATHERINE DAVIS, LCSW
Social Worker
-
DR. RHONDA GANANSKY, MD
Dermatology