Individual
ELIZABETH MCNALLY-PANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Mailing address
2345 BENT WAY, LONGMONT, CO 80503-7614
(303) 338-4545
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
539
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008757
KAISER-COMMERCIAL NUMBER
—
05
—
07001506
—
CO
Enumeration date
02/27/2007
Last updated
06/13/2016
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