Basic Information
Provider Information
NPI: 1720330889
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTMARK
FirstName: ELIZABETH
MiddleName: ANN
NamePrefix:  
NameSuffix:  
Credential: FNP-BC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3025 S PARKER RD STE 100
Address2:  
City: AURORA
State: CO
PostalCode: 800142914
CountryCode: US
TelephoneNumber: 3034817030
FaxNumber: 3037457935
Practice Location
Address1: 3025 S PARKER RD STE 100
Address2:  
City: AURORA
State: CO
PostalCode: 800142914
CountryCode: US
TelephoneNumber: 3034817030
FaxNumber: 3037457935
Other Information
ProviderEnumerationDate: 10/12/2012
LastUpdateDate: 10/12/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163W00000XRN0178390CON Nursing Service ProvidersRegistered Nurse 
363LF0000XAPN0990387-NPCOY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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