Mrs. Marina Deatherage
Mrs. Marina Deatherage is a Nurse Practitioner in Lake Geneva, Wisconsin. Qualified in 2019, 7 years ago. Practices with Aurora Medical Group, Inc, a 3,741-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Wisconsin.
- Years since qualifying
- 7
- Licensed in
- IL, WI
- In the registry since
- 2019
- Specialties on file
- 2
Practice location Address checks out
146 E Geneva SqLake Geneva, WI 53147-9694
Phone: (262) 249-4660
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 3915 Oglesby Ave, Gurnee, IL 60031-3358 — (847) 336-1600
Specialties & licences
| Nurse Practitioner (primary) | Taxonomy 363L00000X · Licence 10857-033 (WI) |
|---|---|
| Family Nurse Practitioner | Taxonomy 363LF0000X · Licence 209020317 (IL) |
Record details
| NPI number | 1538706858 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 5, 2019 |
| Last updated in NPPES | November 30, 2021 |
| Certification date | November 30, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Aurora Medical Group, Inc. — 3741 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Lake Geneva
-
Christina L. Clancy, CNP
146 E Geneva Sq, Lake Geneva, WI 53147 · (262) 249-4660
-
Kirkpatrick Healthcare LLC
611 Harmony Dr, Lake Geneva, WI 53147-8800 · (262) 249-1960
-
Jennifer May Kirkpatrick, APNP
611 Harmony Dr, Lake Geneva, WI 53147-8800 · (262) 249-1960
-
Kimberly Kate Mizelle, APNP
N2950 State Road 67, Lake Geneva, WI 53147-2655 · (262) 245-0535
-
MS. Kimberly Shaffner, FNP-BC
N3143 Kale Rd, Lake Geneva, WI 53147-3235 · (262) 203-1104