Individual
MARISSIA ELIZABETH WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
182189
CO
363LF0000X
Family Nurse Practitioner
Primary
APN.0991738-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027241
KAISER COMMERCIAL NUMBER
CO
Enumeration date
08/21/2013
Last updated
08/19/2024
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