Mariah Lynn Degusseme, FNP-C
Nurse Practitioner, Family in Lone Tree, CO. Individual provider (NPI-1).
NPI number1194430173
StatusActive
Last updated in NPPESJan 13, 2023
Details
- NPI
- 1194430173
- Entity type
- Individual (NPI-1)
- Name
- Mariah Lynn Degusseme
- Credential
- FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 13, 2023
- Certification date
- Jan 13, 2023
- Last updated
- Jan 13, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 0998274 | CO | Yes |
Practice location
9362 Teddy Ln Ste 103&104Lone Tree, CO 80124-2870
Phone 303-955-7545
Mailing address
3424 Meade StDenver, CO 80211-3141
Phone 760-650-5773
Other practice locations
3424 Meade St
Denver, CO 80211-3141
Denver, CO 80211-3141
Phone 760-650-5773
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All 57 Family Nurse Practitioner providers in Lone Tree · All 1,866 providers in Lone Tree
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