Individual
ELISE NGUYEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1058 S FEDERAL BLVD, DENVER, CO 80219-4102
(303) 975-1700
(303) 975-1799
Mailing address
1058 S FEDERAL BLVD, DENVER, CO 80219-4102
(303) 975-1700
(303) 975-1799
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
14922
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36773841
—
CO
Enumeration date
02/25/2021
Last updated
03/11/2021
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