Healthcare Provider Details

I. General information

NPI: 1588705065
Provider Name (Legal Business Name): ELIZABETH SOLANO-GALVAN L.P.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 12/28/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 LAWRENCE ST
DENVER CO
80205-2126
US

IV. Provider business mailing address

2301 LAWRENCE ST
DENVER CO
80205-2126
US

V. Phone/Fax

Practice location:
  • Phone: 303-996-6061
  • Fax: 303-296-1306
Mailing address:
  • Phone: 303-996-6061
  • Fax: 303-296-1306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code164W00000X
TaxonomyLicensed Practical Nurse
License Number40468
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: