Provider Demographics
NPI:1033980065
Name:STOEFFLER, MARISSA (ARNP)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:
Last Name:STOEFFLER
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23794 330TH ST
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:IA
Mailing Address - Zip Code:50464-8757
Mailing Address - Country:US
Mailing Address - Phone:641-832-8384
Mailing Address - Fax:
Practice Address - Street 1:23794 330TH ST
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:IA
Practice Address - Zip Code:50464-8757
Practice Address - Country:US
Practice Address - Phone:641-832-8384
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-09
Last Update Date:2024-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAA176415207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine