Individual
MRS. DONNA RUTH ELLSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP
Contact information
Practice address
8405 W ALAMEDA AVE, LAKEWOOD, CO 80226-2908
(720) 974-5400
(720) 974-4990
Mailing address
11700 W 2ND PL, STE 450, LAKEWOOD, CO 80228-1719
(607) 349-8450
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
17590
CO
Other
Enumeration date
07/21/2006
Last updated
06/28/2016
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