Provider Demographics
NPI:1942488911
Name:NEISES, MAREN KAY (RN)
Entity Type:Individual
Prefix:MRS
First Name:MAREN
Middle Name:KAY
Last Name:NEISES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1103
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104
Mailing Address - Country:US
Mailing Address - Phone:720-201-6959
Mailing Address - Fax:303-681-9949
Practice Address - Street 1:1201 FREMONT DRIVE
Practice Address - Street 2:
Practice Address - City:LARKSPUR
Practice Address - State:CO
Practice Address - Zip Code:80118-8755
Practice Address - Country:US
Practice Address - Phone:720-201-6959
Practice Address - Fax:303-681-9949
Is Sole Proprietor?:No
Enumeration Date:2008-02-01
Last Update Date:2008-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO140739163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse