Individual
MARILYN A KOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, BCADM, CDE
Contact information
Practice address
9165 W THUNDERBIRD RD, SUITE 100, PEORIA, AZ 85381-4847
(623) 583-5150
(623) 523-6594
Mailing address
9165 W THUNDERBIRD RD, SUITE 100, PEORIA, AZ 85381-4847
(623) 583-5150
(623) 523-6594
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
RN097071
AZ
Other
Enumeration date
05/09/2006
Last updated
03/01/2011
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