Individual
MCKENNA MARX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
565 SPACE CENTER DR STE 130, COLORADO SPRINGS, CO 80915-3610
(719) 638-5000
Mailing address
6840 FOUNTAIN VISTA CIR, FOUNTAIN, CO 80817-4708
(920) 809-7171
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1694101
CO
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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