Individual
ELIZABETH DIEGO PASTRANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 388-5894
Mailing address
1620 GAYLORD ST, DENVER, CO 80206-1207
(303) 388-5894
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0334399
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1620
N/A
CO
Enumeration date
01/26/2021
Last updated
01/26/2021
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