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NPI Code Detail

MEDICARE: MARISSA LEE VOGT APRN, WHNP-BC

MEDICARE:   MARISSA LEE VOGT  APRN, WHNP-BC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse Practitioner115209NE

General Provider Information

NPI Number : 1225892078
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA LEE VOGT APRN, WHNP-BC
Provider Business Mailing Address
First Line : 630 N COTNER BLVD STE 204
Second Line :
City : LINCOLN
State : NE
Zip : 68505-2339
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 630 N COTNER BLVD
Second Line :
City : LINCOLN
State : NE
Zip : 68505-2339
Country : US
Telephone Number : 402-466-1012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2024
Last Update Date : 03/13/2026

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Directions to “ MARISSA LEE VOGT APRN, WHNP-BC” Practice Location

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