Individual
MRS. MARILYN PATRICIA NISHIMOTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2045 FRANKLIN ST, KASC-OPERATING ROOM, DENVER, CO 80205-5437
(303) 764-4451
Mailing address
468 BUFFALO BILL CIR, GOLDEN, CO 80401-9400
(303) 526-0469
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
94496
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
94496
COLORADO STATE NURSES LICENSING
CO
Enumeration date
09/09/2008
Last updated
09/09/2008
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