Individual
MARSHA L. COBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
1338 PHAY AVE, ST THOMAS MORE HOSPITAL, CANON CITY, CO 81212
(719) 285-2000
Mailing address
1955 YORK AVE, CANON CITY, CO 81212-8627
(719) 269-1708
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP-3511
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56158564
—
CO
Enumeration date
06/23/2006
Last updated
09/09/2016
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