Organization
ELP L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DALENE D PERDUE CRNA (SOLE PROPRIETOR)
(719) 564-5855
Entity
Organization
Contact information
Practice address
4100 JERRY MURPHY RD, PUEBLO, CO 81001-1046
(719) 671-5564
Mailing address
47 LOYOLA LN, PUEBLO, CO 81005-1656
(719) 564-5855
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
150270
CO
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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