Individual
MS. MICHELLE LORRAINE ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
15501 E 13TH AVE, AURORA, CO 80011-7203
(303) 360-6276
(303) 343-1006
Mailing address
3701 S BROADWAY, ENGLEWOOD, CO 80113-3611
(303) 360-6276
(303) 761-2787
Taxonomy
Speciality
Code
Description
License number
State
163WW0101X
Ambulatory Women's Health Care Registered Nurse
0062218
CO
363L00000X
Nurse Practitioner
Primary
APN.0990405
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
016313
KAISER COMMERCIAL NUMBER
CO
05
—
65280555
—
CO
Enumeration date
02/12/2013
Last updated
02/11/2019
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