Individual
MICHELLE CUSIMANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 399-5412
Mailing address
1906 BLAKE AVE, GLENWOOD SPRINGS, CO 81601-4227
(970) 399-5412
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
Primary
107353
CO
Other
Enumeration date
02/04/2026
Last updated
02/04/2026
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