Individual
ELISABETH RAVEN FISHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
624 N BRENTWOOD CT, CASTLE ROCK, CO 80104-9791
(720) 206-8939
Mailing address
624 N BRENTWOOD CT, CASTLE ROCK, CO 80104-9791
(720) 206-8939
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1665897
CO
Other
Enumeration date
04/27/2021
Last updated
04/27/2021
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