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General NPI Number Information
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NPI Number | 1588763569
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE GERLITZKI F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 12/15/2015
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Provider Practice Location Address
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Address Line | 4674 SNOW MESA DR SUITE 100
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City | FORT COLLINS
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State | CO
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Zip | 80528-8615
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Country | US
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Telephone | 970-482-3712
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Fax |
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Provider Business Mailing Address
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Address Line | 2695 ROCKY MOUNTAIN AVE SUITE 150
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City | LOVELAND
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State | CO
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Zip | 80538-8702
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 23001.365
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APN.0004057-NP
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License Number State | CO
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 4057
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License Number State | CO
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