Barbara Lynn Marcum, RN

Individual provider Active NPI Registered Nurse · Leadville, CO

NPI 1003008681 · NPPES record last updated Sep 6, 2023

Key facts

NPI
1003008681
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
80208 (CO)
Practice address
511 Harrison
Leadville, CO 80461
Phone
(970) 389-6457
NPI assigned
Aug 16, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
80208COMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 80208 CO Yes

Addresses

Primary practice location

511 Harrison
Leadville, CO 80461

Mailing address

95 Lang Rd Pobox 85
Twin Lakes, CO 81251
Phone (719) 486-9761

Other identifiers

IdentifierTypeStateIssuer
0780002085MedicaidCO

Other providers in Leadville, CO

All providers in Leadville, CO · Registered Nurse in Colorado

Sources for this page

Verify at the official NPI Registry.