MARISSA KIRBY
NPI 1891169835
Nurse Practitioner - Pediatrics in Colorado Springs, CO
Active since November 13, 2015
About Marissa Kirby NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARISSA KIRBY (NPI 1891169835) is an individual pediatrics provider in Colorado Springs, Colorado, licensed in Colorado (APN.0992079-NP) and active in the NPI registry since November 2015.
NPPES Registry Identity
NPI1891169835
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMARISSA KIRBY
Location Address402 N TEJON ST, SUITE 200Colorado Springs, CO 80903-1142
Mailing Address402 N Tejon St, Suite 200Colorado Springs, CO 80903-1142
Phone(719) 633-3850
Sole ProprietorNo
Enumeration DateNovember 13, 2015
Last NPPES UpdateOctober 4, 2016
✔ NPI 1891169835 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
Licenses✔ Licensed in CO · APN.0992079-NP✔ Licensed in CO · RXN.0102166-NP
402 N TEJON ST, Colorado Springs, CO 80903
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Physician Assistant (Medical)
402 N TEJON ST, SUITE 200
COLORADO SPRINGS, CO 80903
COLORADO SPRINGS, CO 80903
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1891169835, enumerated as an "individual" on November 13, 2015.
The provider is located at 402 N TEJON ST SUITE 200 COLORADO SPRINGS, CO 80903 and the phone number is (719) 633-3850.
Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.
