Individual
ELYSE COGUILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6705 RANGEWOOD DR, COLORADO SPRINGS, CO 80918
(719) 599-7331
(719) 599-1333
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(970) 624-4034
(970) 490-4347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1616942
CO
363LW0102X
Women's Health Nurse Practitioner
Primary
APN.0993970-NP
CO
Other
Enumeration date
05/09/2018
Last updated
07/12/2018
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