Individual
ELIN MIXER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8990 WASHINGTON ST, THORNTON, CO 80229-4537
(303) 650-4460
Mailing address
1735 S PUBLIC RD, LAFAYETTE, CO 80026-7093
(303) 650-4460
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.0999796-NP
CO
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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