Healthcare Provider Details

I. General information

NPI: 1487989836
Provider Name (Legal Business Name): ERIN CHRISTINE MARION NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2009
Last Update Date: 10/02/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 COCHRANE CIR # B7500
FT CARSON CO
80913-4603
US

IV. Provider business mailing address

1650 COCHRANE CIR # B7500
FT CARSON CO
80913-4603
US

V. Phone/Fax

Practice location:
  • Phone: 719-526-7844
  • Fax: 719-526-7984
Mailing address:
  • Phone: 719-526-7844
  • Fax: 719-526-7984

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number180766
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: