Gandolph, Marilyn Ann
Gandolph, Marilyn Ann is an individual health care provider with primary practice located at 325 W S Boulder Rd Ste 101 , Louisville CO 80027-1130. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Gandolph, Marilyn Ann can be contacted via phone (720) 519-1596.Contact Information
Primary practice address
325 W S Boulder Rd Ste 101
Louisville CO 80027-1130
Phone: (720) 519-1596
Fax: (720) 542-9408
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 3015 | Colorado |
Profile Details
| NPI number | 1154388148 |
|---|---|
| LBN Legal business name | Gandolph, Marilyn Ann |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 26th, 2006 |
| Last updated | Mar 17th, 2018 - about 8 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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