Healthcare Provider Details

I. General information

NPI: 1083832042
Provider Name (Legal Business Name): ELIZABETH MEYER RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ELIZABETH LANGE

II. Dates (important events)

Enumeration Date: 04/23/2007
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 CLERMONT ST
DENVER CO
80220-3808
US

IV. Provider business mailing address

14263 TERN DR
COLORADO SPRINGS CO
80921-2448
US

V. Phone/Fax

Practice location:
  • Phone: 303-399-8020
  • Fax:
Mailing address:
  • Phone: 720-284-7348
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberRN-124480
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: