Individual
ELLEN FRANCES DICKERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 GARDEN OF THE GODS RD STE 2044, COLORADO SPRINGS, CO 80907-9444
(719) 578-3199
Mailing address
2855 BETHUNE CT, COLORADO SPRINGS, CO 80920-5123
(719) 654-4601
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0124137
CO
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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