Individual
ALYSSA MARIE ENSIGN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12230 LIONESS WAY, PARKER, CO 80134-5603
(720) 644-9355
Mailing address
5023 W 120TH AVE STE 312, BROOMFIELD, CO 80020-5606
(720) 644-9355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0994262-NP
CO
Other
Enumeration date
11/05/2018
Last updated
08/29/2019
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