Provider Demographics
NPI:1538695044
Name:LAING, MARISA L (DNP, APRN, FNP-C)
Entity Type:Individual
Prefix:DR
First Name:MARISA
Middle Name:L
Last Name:LAING
Suffix:
Gender:F
Credentials:DNP, APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 RAINBOW BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66160-8500
Mailing Address - Country:US
Mailing Address - Phone:913-588-6121
Mailing Address - Fax:913-588-5121
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-1921
Practice Address - Country:US
Practice Address - Phone:913-588-6121
Practice Address - Fax:913-588-5121
Is Sole Proprietor?:No
Enumeration Date:2017-05-03
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS77718363L00000X
MO2017017857363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner