Individual
CONNIE ELANE EVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1930 CONNECTICUT DR, FORT COLLINS, CO 80525-2985
(970) 988-8115
Mailing address
1930 CONNECTICUT DR, FORT COLLINS, CO 80525-2985
(970) 988-8115
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
20740
CO
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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