Individual
MARILYN CIESZYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
507 CENTRAL AVE, DOLORES, CO 81323-0908
(970) 882-7221
(970) 882-4243
Mailing address
PO BOX 1251, DOLORES, CO 81323-1251
(970) 882-7221
(970) 882-8483
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17661
CO
Other
Enumeration date
10/20/2005
Last updated
07/08/2007
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