Individual
MARIAN ELIZABETH HEESAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
3090 N 12TH ST UNIT B, GRAND JUNCTION, CO 81506-2804
(970) 241-2212
(970) 257-2401
Mailing address
2754 COMPASS DR STE 377, GRAND JUNCTION, CO 81506-8723
(970) 255-7263
(970) 255-7277
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990391-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18286577
—
CO
Enumeration date
05/02/2012
Last updated
04/09/2019
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