MEDICARE: MARSO VENTURES LLC

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
1	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1932063716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MARSO VENTURES LLC

Provider Business Mailing Address
First Line	:	1400 FORUM BLVD STE 7A371
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-1938
Country	:	US
Telephone Number	:	573-200-6024
Fax Number	:	573-200-6024

Provider Business Practice Location Address
First Line	:	1400 FORUM BLVD STE 7A371
Second Line	:
City	:	COLUMBIA
State	:	MO
Zip	:	65203-1938
Country	:	US
Telephone Number	:	573-200-6024
Fax Number	:	573-200-6024

Authorized Official
Title or Position	:	APRN
Name	:	ALYSSA MARSO
Credential	:	APRN
Telephone Number	:	573-200-6024

Provider Enumeration Date	:	12/15/2025
Last Update Date	:	12/15/2025

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Directions to “MARSO VENTURES LLC ” Practice Location

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