Individual
ELLEN JANE DISESA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP
Contact information
Practice address
9780 PYRAMID CT STE 260, ENGLEWOOD, CO 80112-7060
(720) 420-1570
(866) 657-9471
Mailing address
2240 N CLAY ST UNIT 404, DENVER, CO 80211-5192
(720) 746-8533
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
APN.1000000-NP
CO
Other
Enumeration date
07/26/2024
Last updated
10/03/2024
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