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NPI Code Detail

MEDICARE: MARY CATHERINE PARRIS APN

MEDICARE: MARY CATHERINE PARRIS APN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse PractitionerNP10332CO

General Provider Information

NPI Number : 1225332968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY CATHERINE PARRIS APN
Provider Business Mailing Address
First Line : 6025 DELMONICO DR.
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2251
Country : US
Telephone Number : 719-535-0648
Fax Number : 719-262-5574
Provider Business Practice Location Address
First Line : 6025 DELMONICO DR.
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-2251
Country : US
Telephone Number : 719-535-0648
Fax Number : 719-262-5574
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2011
Last Update Date : 01/10/2011

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Directions to “ MARY CATHERINE PARRIS APN” Practice Location

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