Marissa Bone, NP
Nurse Practitioner, Family in Saint Peters, MO. Individual provider (NPI-1).
NPI number1306658570
StatusActive
Last updated in NPPESFeb 9, 2026
Details
- NPI
- 1306658570
- Entity type
- Individual (NPI-1)
- Name
- Marissa Bone
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 23, 2025
- Certification date
- Feb 9, 2026
- Last updated
- Feb 9, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 2025003389 | MO | Yes |
| 363L00000X | Nurse Practitioner | 2025003389 | MO | |
| 163WC1600X | Registered Nurse, Continuing Education/Staff Development | 2018025751 | MO |
Other names
- Marissa Awaad (Former Name)
Practice location
201 Bjc Saint Peters Dr Ste 200cSaint Peters, MO 63376-3385
Phone 961-563-6916
Mailing address
201 Bjc Saint Peters Dr Ste 200cSaint Peters, MO 63376-3385
Phone 636-916-9615 · Fax 636-916-9850
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