Provider Demographics
NPI:1801395405
Name:BRIGHT, MARISHKA MARIE (RDMS)
Entity Type:Individual
Prefix:
First Name:MARISHKA
Middle Name:MARIE
Last Name:BRIGHT
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2421 S FUNDY CIR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-7697
Mailing Address - Country:US
Mailing Address - Phone:303-324-9903
Mailing Address - Fax:
Practice Address - Street 1:2421 S FUNDY CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-7697
Practice Address - Country:US
Practice Address - Phone:303-324-9903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-08
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2036722471S1302X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography