Individual
MRS. MARINA PITSILOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
2205 CORDILLERA WAY, EDWARDS, CO 81632-6290
(708) 557-7689
Mailing address
PO BOX 1534, AVON, CO 81620-1534
(708) 557-7689
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
255401
AZ
363LA2200X
Adult Health Nurse Practitioner
255401
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
255401
AZ
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
C-APN.0103837-C-NP
CO
Other
Enumeration date
04/13/2021
Last updated
06/29/2025
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