Individual
MRS. MARLO ANN BRUMBAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
65 BAYLOR ST, PUEBLO, CO 81005-1610
(719) 566-7878
Mailing address
65 BAYLOR ST, PUEBLO, CO 81005-1610
(719) 566-7878
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
121408
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
58674845
—
CO
Enumeration date
03/05/2007
Last updated
07/08/2007
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