Provider Demographics
NPI:1902892516
Name:PHILLIPS, MARSHA H (MSN, FNPC)
Entity Type:Individual
Prefix:MS
First Name:MARSHA
Middle Name:H
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:MSN, FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4124 E HINSDALE CIR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2278
Mailing Address - Country:US
Mailing Address - Phone:303-741-2960
Mailing Address - Fax:
Practice Address - Street 1:8340 S SANGRE DE CRISTO RD
Practice Address - Street 2:SUITE 105
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4248
Practice Address - Country:US
Practice Address - Phone:303-932-2111
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-20
Last Update Date:2024-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO46789363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner