Mariah Lynn Degusseme, FNP-C Valid NPI

Individual provider · Family Nurse Practitioner · Lone Tree, CO

NPI

1194430173

Type

Individual (Type 1)

Primary specialty

Family Nurse Practitioner (Nurse Practitioner)

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363LF0000X

License number

0998274 (CO)

Sex

Female

Sole proprietor

No

Enumerated

2023-01-13

Last updated

2023-01-13