Healthcare Provider Details

I. General information

NPI: 1952301186
Provider Name (Legal Business Name): SIGLINDA R MARLIN APN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SEGLINDA MARLIN APN

II. Dates (important events)

Enumeration Date: 07/29/2005
Last Update Date: 08/02/2023
Certification Date: 08/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5265 VANCE ST STE 200
ARVADA CO
80002-3714
US

IV. Provider business mailing address

4891 INDEPENDENCE ST STE 120
WHEAT RIDGE CO
80033-6713
US

V. Phone/Fax

Practice location:
  • Phone: 303-232-3366
  • Fax: 303-232-8734
Mailing address:
  • Phone: 303-456-5495
  • Fax: 303-456-7490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number68125
License Number StateNM
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number202113214NP-PP
License Number StateOR
# 3
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number4704381098
License Number StateMI
# 4
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number12502753-4405
License Number StateUT
# 5
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number850726
License Number StateNV
# 6
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2021039628
License Number StateMO
# 7
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number70199
License Number StateID
# 8
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61245271
License Number StateWA
# 9
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1078755
License Number StateTX
# 10
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberC-APN.0001298-C-NP
License Number StateCO
# 11
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPN.0994672-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: