Marilyn A. Gandolph, PHYSICIAN ASSISTANT
Physician Assistant · Louisville, CO
UnclaimedPHYSICIAN ASSISTANTNPI 1154388148
- Primary taxonomy
- 363AM0700X
- Enumerated
- 2006-04-26
- Practice location
- Louisville, CO
- Last NPPES update
- 2018-03-17
State licenses
- CO · Physician assistant · PAActivethrough 2028verify
- CO · Registered nurse · RNActivethrough 2027verify
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.