Individual
ELIZABETH LONGSHORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
802 W DRAKE RD STE 101, FORT COLLINS, CO 80526-5567
(970) 482-0198
(970) 482-9148
Mailing address
802 W DRAKE RD STE 101, FORT COLLINS, CO 80526-5567
(970) 482-0198
(970) 482-9148
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APN.0992558-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
APN.0992558-NP
CO
Other
Enumeration date
09/11/2016
Last updated
01/19/2022
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