Individual provider · Type 1 NPI
Mariah Lynn Degusseme, FNP-C
Family Nurse Practitioner · Lone Tree, CO
NPI number
1194430173
Active
Practice location
9362 Teddy Ln Ste 103&104
Lone Tree, CO 80124-2870
Mailing address
3424 Meade St
Denver, CO 80211-3141
Other practice locations
- 3424 Meade St, Denver, CO 80211-3141 · (760) 650-5773
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 0998274 (CO) |
Family Nurse Practitioner: Definition to come...
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About NPI 1194430173
Mariah Lynn Degusseme, FNP-C's National Provider Identifier is 1194430173, issued on Jan 13, 2023. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Lone Tree, CO. The record was last updated on Jan 13, 2023.