NPI Search for Physicians and Health Care Providers
MARILYN WAUGH BOULDIN
>> Registered Nurse >> Nursing Service ProvidersRegistrant NPI Number: 1952573859
Individual Registrant:
MARILYN WAUGH BOULDIN
Gender: F
Not Sole Proprietor
Location and contact information for practice:
209 E 3RD ST SALIDA, CO 81201-2614 US
Tel: 719-539-4510 Fax: 719-539-7197
Contact information for business:
209 E 3RD ST SALIDA, CO 81201-2614 US
Tel: 719-539-4510 Fax: 719-539-7197
Registration Information:
NPI: 1952573859
Entity Type: Individual
Specialty information:
Primary | Code | Category/Description | State | License Number |
---|
Y | 163W00000X | Nursing Service Providers Registered Nurse
| CO | 39316 |
Legacy codes, insurance codes and state license numbers:
Issuer | Number | State | Type |
---|
| 04419099 | CO | 05 |
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