Individual
MARISSA ELIZABETH SHISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4020 JERRY MURPHY RD, PUEBLO, CO 81001
(719) 546-3600
(719) 546-0931
Mailing address
4020 JERRY MURPHY RD, PUEBLO, CO 81001
(719) 546-3600
(719) 546-0931
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993611-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14612324
CAQH
CO
05
—
9000163803
—
CO
Enumeration date
12/30/2017
Last updated
11/03/2023
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