Individual provider · Type 1 NPI

Marjon Indra Pekelharing, LPN, PhD

Licensed Practical Nurse · Boulder, CO

NPI number 1154580371 Active

Practice location

1333 Iris Ave
Boulder, CO 80304-2226

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X44573 (CO)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154580371

Marjon Indra Pekelharing, LPN, PhD's National Provider Identifier is 1154580371, issued on Jun 3, 2008. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Boulder, CO. The record was last updated on Jun 3, 2008.