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Organization

MARRI PORTIA COLLOM FNP PLLC

Active
Other names
Your Neighborhood Nurse Practitioner
Organization subpart
No

Provider details

NPI number
Authorized official
MARRI COLLOM APN (FNP/ PRACTICE OWNER)
(303) 775-3401
Entity
Organization

Contact information

Practice address
350 EAST ST, #1307, NEDERLAND, CO 80466-5001
(303) 775-3401
Mailing address
PO BOX 1307, NEDERLAND, CO 80466-1307
(303) 775-3401

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0990991-NP
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39877833
CO
Enumeration date
10/09/2014
Last updated
03/12/2015
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