Provider Demographics
NPI:1437956281
Name:TAYLOR-MARSICO, SHERRI RENEE (BSN, IBCLC)
Entity type:Individual
Prefix:
First Name:SHERRI
Middle Name:RENEE
Last Name:TAYLOR-MARSICO
Suffix:
Gender:F
Credentials:BSN, IBCLC
Other - Prefix:
Other - First Name:SHERRI
Other - Middle Name:RENEE
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSN, IBCLC
Mailing Address - Street 1:18065 RED ROCKS DR
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8262
Mailing Address - Country:US
Mailing Address - Phone:719-237-4698
Mailing Address - Fax:
Practice Address - Street 1:2960 N CIRCLE DR STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80909-1163
Practice Address - Country:US
Practice Address - Phone:719-741-6113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-28
Last Update Date:2025-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COL-66063163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant