Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | APN.0001438-CNS | CO |
NPI | 1013283191 |
---|---|
Provider Name | Dr. Mary Margaret Ciambelli |
First Address | Frisco, CO 80443-2820 |
Second Address | Frisco, CO 80443 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2012 |
Last Update Date | 25/07/2019 |