Provider Demographics
NPI:1952301186
Name:MARLIN, SIGLINDA R (APN)
Entity Type:Individual
Prefix:
First Name:SIGLINDA
Middle Name:R
Last Name:MARLIN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:SEGLINDA
Other - Middle Name:
Other - Last Name:MARLIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:4891 INDEPENDENCE ST STE 120
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6713
Mailing Address - Country:US
Mailing Address - Phone:303-456-5495
Mailing Address - Fax:303-456-7490
Practice Address - Street 1:5265 VANCE ST STE 200
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80002-3714
Practice Address - Country:US
Practice Address - Phone:303-232-3366
Practice Address - Fax:303-232-8734
Is Sole Proprietor?:No
Enumeration Date:2005-07-29
Last Update Date:2023-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM68125363L00000X
OR202113214NP-PP363L00000X
MI4704381098363L00000X
UT12502753-4405363L00000X
NV850726363L00000X
MO2021039628363L00000X
ID70199363L00000X
WAAP61245271363L00000X
TX1078755363L00000X
COC-APN.0001298-C-NP363LA2200X
COAPN.0994672-NP363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL97627OtherMEDICARE PIN/GROUP
FL97627OtherMEDICARE PIN/GROUP
E7678YMedicare PIN