MARRI PORTIA COLLOM FNP PLLC NPI 1245634997

NPI Information

NPI: 1245634997
Provider Name: MARRI PORTIA COLLOM FNP PLLC

Other Name: YOUR NEIGHBORHOOD NURSE PRACTITIONER

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
350 EAST ST
#1307
NEDERLAND, CO
ZIP 80466
Phone: (303) 775-3401
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MARRI PORTIA COLLOM FNP PLLC is a family nurse practitioner in Nederland, CO. MARRI PORTIA COLLOM FNP PLLC NPI is 1245634997. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Your Neighborhood Nurse Practitioner.

The provider's business location address is:

350 EAST ST
#1307
NEDERLAND, CO
ZIP 80466-001
Phone: (303) 775-3401

The provider's authorized official is Marri Collom .
The authorized official title is Fnp/ Practice Owner and has the following contact phone number (303) 775-3401.

The enumeration date for this NPI number is 10/9/2014 and was last updated on 3/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	APN.0990991-NP	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	39877833	MEDICAID	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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