Marilyn Cieszykowski, NP
Individual provider Active NPI Family Nurse Practitioner · Dolores, CO
NPI 1700875804 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1700875804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 17661 (CO)
- Practice address
- 507 Central Ave
Dolores, CO 81323-0908 - Phone
- (970) 882-7221
- Fax
- (970) 882-4243
- NPI assigned
- Oct 20, 2005
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17661 | CO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley-Wide Health Systems, Inc. | Past | Accepting new patients | |
| Dolores Medical Center PC | Past | Accepting new patients | |
| Dolores Medical Center | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 17661 | CO | Yes |
Addresses
Primary practice location
507 Central Ave
Dolores, CO 81323-0908
Mailing address
PO Box 1251
Dolores, CO 81323-1251
Phone (970) 882-7221
Other providers in Dolores, CO
- Aspire Higher, Inc.
- Breitenbach Chiropractic PLLC
- Eric Joseph Breitenbach
- William Glenn Breitenbach
- Allan Scott Burnside
- Clancey Comisky
- Jordan Ami Dalton
- Dolores Medical Center
- Dolores Medical Center PC
- Dolores River Remodel, LLC
All providers in Dolores, CO · Family Nurse Practitioner in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.