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ELIZABETH ANN BROCK WHNP

Women's Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1255542809

Individual Registrant:
 ELIZABETH ANN BROCK WHNP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
275 S ASPEN ST  BUCKLEY AFB, CO 80011-9562 US
Tel: 720-847-7440  Fax: --

Contact information for business:
375 S 43RD ST  BOULDER, CO 80305-6005 US
Tel: 303-494-0491  Fax: --

Registration Information:
NPI: 1255542809
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LW0102XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Women's Health
CO93249

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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