Carlson, Elizabeth Moyle

Carlson, Elizabeth Moyle is an individual health care provider with primary practice located at 735 White Ave , Grand Jct CO 81501-3441. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carlson, Elizabeth Moyle can be contacted via phone (970) 248-5880.

Contact Information

Primary practice address
735 White Ave Grand Jct CO 81501-3441
Phone: (970) 248-5880
Fax: (970) 241-1112
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2780 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.0002780 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.0002780 Colorado

Profile Details

NPI number 1063645992
LBN Legal business name Carlson, Elizabeth Moyle
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2009
Last updated Apr 4th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063645992 NPPES
Colorado MEDICAID 62824279

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