MARILYN A KOLLER APRN BCADM CDE NPI 1972552578

NPI Information

Marilyn A Koller, APRN, BCADM, CDE is a clinical nurse specialist in Peoria, AZ. The provider is a registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. Marilyn A Koller, APRN, BCADM, CDE NPI is 1972552578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9165 W THUNDERBIRD RD
SUITE 100
PEORIA, AZ
ZIP 85381-847
Phone: (623) 583-5150
Fax: (623) 523-6594

The enumeration date for this NPI number is 5/9/2006 and was last updated on 3/1/2011.

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:

Other Identifiers

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

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