Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | APN.0996692-NP | CO |
NPI | 1073287595 |
---|---|
Provider Name | Elizabeth Marie Felix |
First Address | Colorado Springs, CO 80908-5601 |
Second Address | Colorado Springs, CO 80923-2601 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2021 |
Last Update Date | 07/08/2021 |