Individual
ELISE J. MATHENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
777 BANNOCK ST # 590, DENVER, CO 80204-4507
(303) 602-9257
Mailing address
777 BANNOCK ST # 590, DENVER, CO 80204-4507
(303) 602-9257
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
173920
CO
Other
Enumeration date
07/27/2011
Last updated
05/27/2016
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