Individual
MS. MARY LYNN MARSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1853 OCONNELL BLVD, FORT CARSON, CO 80913-4055
(719) 524-5577
Mailing address
823 CRESTA ROAD, COLORADO SPRINGS, CO 80906
(719) 216-7756
(719) 526-7732
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
361900
CO
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C01900
CO
Other
Enumeration date
01/13/2006
Last updated
12/04/2020
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