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NPI Code Detail

MEDICARE: RILEY C MARSCHIK PMHNP

MEDICARE: RILEY C MARSCHIK PMHNP
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.1001608-NPCO
2163W00000XRegistered NurseRN.1676011CO
3163W00000XRegistered Nurse2020002197MO

General Provider Information

NPI Number : 1699356931
Entity Type Code : Individual
Provider Name (Legal Business Name) : RILEY C MARSCHIK PMHNP
Provider Business Mailing Address
First Line : 220 RUSKIN DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-2522
Country : US
Telephone Number : 719-314-4264
Fax Number :
Provider Business Practice Location Address
First Line : 1795 JET WING DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80916-2332
Country : US
Telephone Number : 719-572-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2021
Last Update Date : 03/12/2026

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