Wilson, Marissia Elizabeth

Wilson, Marissia Elizabeth is an individual health care provider with primary practice located at 2500 S Havana St , Aurora CO 80014-1618. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Emergency, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Wilson, Marissia Elizabeth can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2500 S Havana St Aurora CO 80014-1618
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Emergency 163WE0003X 182189 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN.0991738-NP Colorado

Profile Details

NPI number 1972937365
LBN Legal business name Wilson, Marissia Elizabeth
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2013
Last updated Jun 22nd, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972937365 NPPES
Colorado Other 027241 KAISER COMMERCIAL NUMBER

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