Marri Portia Collom, NP-C is a
Nurse Practitioner based in Nederland, Colorado. Marri Portia Collom is licensed to practice in Colorado (license number RXN.0100789-NP) and her current practice location is
1013 Twin Sisters Rd, Nederland, Colorado. She can be reached at her office (for appointments etc.) via phone at
(303) 775-3401.
NPI number for Marri Portia Collom is 1639404007 and her current mailing address is Po Box 1307, Nederland, Colorado. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1639404007.
Provider's Profile
Full Name | Marri Portia Collom |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 1013 Twin Sisters Rd, Nederland, Colorado |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1639404007
- Provider Enumeration Date: 10/02/2009
- Last Update Date: 07/30/2014
Medical Identifiers
Medical identifiers for Marri Portia Collom such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639404007 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | RXN.0100789-NP (Colorado) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marri Portia Collom is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Marri Portia Collom, NP-C Po Box 1307, Nederland, CO 80466-1307 Ph: (303) 775-3401 | Marri Portia Collom, NP-C 1013 Twin Sisters Rd, Nederland, CO 80466-9600 Ph: (303) 775-3401 |
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