Individual
MRS. ELLEN MARIE DALLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN, PNP-PC
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-5137
Mailing address
1350 S YORK ST, DENVER, CO 80210-2409
(303) 653-6966
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
0993294
CO
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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