Provider Demographics
NPI:1881358463
Name:COMBE-PIERCE, MARLISE ROSE KRESIC (MS CGC)
Entity type:Individual
Prefix:
First Name:MARLISE
Middle Name:ROSE KRESIC
Last Name:COMBE-PIERCE
Suffix:
Gender:F
Credentials:MS CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15970 JACKSON ST
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7795
Mailing Address - Country:US
Mailing Address - Phone:845-532-3480
Mailing Address - Fax:
Practice Address - Street 1:30 LAFAYETTE AVE STE 11010
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-4177
Practice Address - Country:US
Practice Address - Phone:089-766-2800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS