Individual
MALISSA PENNY-FORSYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1444 S POTOMAC ST, SUITE 300, DENVER, CO 80012-4508
(303) 750-0822
(303) 750-1298
Mailing address
PO BOX 848601, BOSTON, MA 02284-8601
(303) 295-8737
(303) 298-1862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
76958
CO
Other
Enumeration date
10/11/2005
Last updated
04/18/2008
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