Basic Information
Provider Information
NPI: 1861907909
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARREGUIN
FirstName: ELISABETH
MiddleName: MARIE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1421 ONEIDA ST UNIT 13
Address2:  
City: DENVER
State: CO
PostalCode: 802202953
CountryCode: US
TelephoneNumber: 4325533759
FaxNumber:  
Practice Location
Address1: 1400 S POTOMAC ST STE 225
Address2:  
City: AURORA
State: CO
PostalCode: 800124514
CountryCode: US
TelephoneNumber: 3038735245
FaxNumber: 4325533759
Other Information
ProviderEnumerationDate: 12/12/2017
LastUpdateDate: 06/02/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/02/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XAPN.00993444.CNMCOY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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