Individual
CHERYL L MARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10103 RIDGEGATE PKWY, SUITE 200, LONE TREE, CO 80124-5520
(303) 788-6657
(303) 788-8837
Mailing address
4900 S MONACO ST, #210, DENVER, CO 80237-3486
(303) 788-6657
(303) 788-8837
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
92234
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07684321
—
CO
01
—
P00387159
RAILROAD MEDICARE
CO
Enumeration date
01/23/2007
Last updated
02/10/2022
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