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Individual

ELISE NICOLE VAN ETTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
13123 E 16TH AVE # 323, ANSCHUTZ MEDICAL CAMPUS, AURORA, CO 80045-7106
(703) 328-2787
Mailing address
13123 E 16TH AVE # 323, ANSCHUTZ MEDICAL CAMPUS, AURORA, CO 80045-7106
(703) 328-2787

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0004919
CO

Other

Enumeration date
03/03/2017
Last updated
10/16/2019
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