Individual
MARIE DESHAZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10101 RIDGEGATE PKWY, LONE TREE, CO 80124-5522
(720) 225-1000
Mailing address
11860 MILL VALLEY ST, PARKER, CO 80138-8794
(813) 484-6463
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1001169NP
CO
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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