Individual
ELAINA MARIE BRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
825 W 6TH ST, LEADVILLE, CO 80461-2205
(719) 486-2413
Mailing address
PO BOX 626, LEADVILLE, CO 80461-0626
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.1650756
CO
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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