Individual
MARCIA ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3260 E WOODMEN RD STE 210, COLORADO SPRINGS, CO 80920-3587
(719) 262-0852
(719) 262-0853
Mailing address
17560 CHARTER PINES DR, MONUMENT, CO 80132-8478
(719) 481-9285
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
94617
CO
Other
Enumeration date
03/05/2007
Last updated
02/12/2015
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