Individual
MS. ELLEN W CALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
19021 US HIGHWAY 285, LA JARA, CO 81140-0639
(719) 274-6000
(719) 274-6038
Mailing address
P.O. BOX 639, 19021 US HIGHWAY 285, LA JARA, CO 81140-0639
(719) 274-6000
(719) 274-6038
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
R22496
NM
363L00000X
Nurse Practitioner
Primary
20016
CO
363L00000X
Nurse Practitioner
CNP00382
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000Z5375
—
NM
05
—
78221030
—
CO
Enumeration date
10/03/2006
Last updated
05/12/2010
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