Individual
ELISA R LIVENGOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1661 COUNTY ROAD 170, WESTCLIFFE, CO 81252-9168
(719) 371-0910
Mailing address
1661 COUNTY ROAD 170, WESTCLIFFE, CO 81252-9168
(719) 371-0910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0176769
CO
Other
Enumeration date
10/24/2018
Last updated
06/30/2020
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