Individual
MARISSA KIRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 N TEJON ST, SUITE 200, COLORADO SPRINGS, CO 80903-1142
(719) 633-3850
Mailing address
402 N TEJON ST, SUITE 200, COLORADO SPRINGS, CO 80903-1142
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APN.0992079-NP
CO
363LP0200X
Pediatric Nurse Practitioner
RXN.0102166-NP
CO
Other
Enumeration date
11/13/2015
Last updated
10/04/2016
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