Individual
ELAINE C HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(720) 434-4876
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(204) 344-8767
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0001009
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
845737
—
AZ
Enumeration date
11/09/2005
Last updated
05/23/2024
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