Individual
MARISSA STARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
1000 RUSH DR, SALIDA, CO 81201-9627
(719) 530-2416
Mailing address
PO BOX 4535, BUENA VISTA, CO 81211-4535
(720) 353-0219
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
APN.0993963-NP
CO
Other
Enumeration date
08/02/2018
Last updated
02/23/2021
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