Individual
MRS. MARY B ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
260 S KIPLING ST, LAKEWOOD, CO 80226-1086
(303) 239-7029
Mailing address
6668 JACKSON LN, HIGHLANDS RANCH, CO 80130-4129
(303) 471-1945
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
92085
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
07920853
—
CO
Enumeration date
10/05/2006
Last updated
07/08/2007
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