Individual
MARISA K PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3676 PARKER BLVD, PUEBLO, CO 81008-2212
(719) 553-2206
(719) 553-2226
Mailing address
5108 ATHOS CT, PUEBLO, CO 81005-1418
(719) 564-9565
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP-10041
CO
Other
Enumeration date
07/13/2009
Last updated
05/24/2010
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