Individual
ELIZABETH LOUISE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
604 S MILLER AVE, LAFAYETTE, CO 80026-1548
(303) 666-5381
Mailing address
604 S MILLER AVE, LAFAYETTE, CO 80026-1548
(303) 666-5381
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
74135
CO
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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