Individual
ELYSA R DAVIDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 678-3200
Mailing address
4900 BOARDWALK DR, N204, FORT COLLINS, CO 80525-6226
(970) 631-9486
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
44461
CO
Other
Enumeration date
10/11/2007
Last updated
10/11/2007
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