Individual provider · Type 1 NPI
Marissa Kellogg, NP
Psychiatric/Mental Health Nurse Practitioner · Wheat Ridge, CO
NPI number
1790395853
Active
Practice location
4851 Independence St
Wheat Ridge, CO 80033-6715
Mailing address
PO Box 110429
Aurora, CO 80042-0429
Other practice locations
- 1693 Quentin St, Aurora, CO 80045-2518 · (720) 848-0000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | APN.0998394-NP (CO) |
| Registered Nurse | 163W00000X | 234499 (TN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1790395853
Marissa Kellogg, NP's National Provider Identifier is 1790395853, issued on Aug 4, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wheat Ridge, CO. The record was last updated on Mar 9, 2023.