MARINA DEATHERAGE

Nurse Practitioner

NPI: 1538706858IndividualAccepts Medicare

Specialties, Licenses & Credentials

Family Nurse Practitioner

Nurse Practitioner — Family

Code: 363LF0000X

209020317(IL)

Nurse PractitionerPrimary

Nurse Practitioner

Code: 363L00000X

10857-033(WI)

CMS Specialties

PrimaryNURSE PRACTITIONER

Education

OTHER

Class of 2019

Contact & Hours

Via practice · 2 locations total

Address: 3915 OGLESBY AVE
GURNEE, IL 60031
Phone: (847) 336-1600

Locations (2)

Practice Location

3915 OGLESBY AVE, GURNEE, IL

Practice Location

146 E GENEVA SQ, LAKE GENEVA, WI

Quick Facts

NPI: 1538706858
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 2
Years in Practice: 7

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