Henry, Elaine C

Henry, Elaine C is an individual health care provider with primary practice located at 5920 Mcintyre St , Golden CO 80403-7445. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Henry, Elaine C can be contacted via phone (720) 434-4876.

Contact Information

Primary practice address
5920 Mcintyre St Golden CO 80403-7445
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0001009 Colorado

Profile Details

NPI number 1184605818
LBN Legal business name Henry, Elaine C
Credentials Gerontological Nurse Practitioner (GNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated May 23rd, 2024 - about 4 months ago

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 1184605818 NPPES
Arizona MEDICAID 845737

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