Individual
AMY MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 PENNOCK PL STE 114, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Mailing address
1025 PENNOCK PL STE 114, FORT COLLINS, CO 80524-3257
(970) 495-8800
(970) 495-8820
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN.1645944
CO
363L00000X
Nurse Practitioner
0996979
CO
363L00000X
Nurse Practitioner
APN.0996979-NP
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0996979-NP
CO
Other
Enumeration date
09/13/2021
Last updated
08/22/2022
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