Healthcare Provider Details
I. General information
NPI: 1972875128
Provider Name (Legal Business Name): ERIN MARSICO NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/03/2012
Last Update Date: 03/25/2025
Certification Date: 03/25/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5251 DTC PKWY STE 450
GREENWOOD VILLAGE CO
80111-2799
US
IV. Provider business mailing address
5251 DTC PKWY STE 450
GREENWOOD VILLAGE CO
80111-2799
US
V. Phone/Fax
- Phone: 720-722-4505
- Fax: 303-479-3947
- Phone: 720-722-4505
- Fax: 303-479-3947
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | 0990317 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: