Elise Marie Itano
Pain Medicine
2750 Broadway St
Boulder
, Colorado 80304
Elise Marie Itano
Pain Medicine
2750 Broadway St
Boulder
, Colorado 80304
(210) 367-1223
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About
Features
Specialties
- Pain Medicine
Languages spoken
- English
Location
First Address
- Elise Marie Itano
- 3727 Pecos St
- Denver, CO
- Zip : 80211-2655
- Phone : (210) 367-1223
Second Address
- Elise Marie Itano
- 2750 Broadway St
- Boulder, CO
- Zip : 80304
- Phone : (303) 440-3000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2081P2900X | Pain Medicine | 0062819 | CO |
National Provider Identifier
| NPI | 1225449754 |
|---|---|
| Provider Name | Elise Marie Itano |
| First Address | Denver, CO 80211-2655 |
| Second Address | Boulder, CO 80304 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/05/2014 |
| Last Update Date | 01/07/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.