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NPI Code Detail

MEDICARE: ELIZABETH DEMARCO NP

MEDICARE: ELIZABETH DEMARCO NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAPN.0994325-NPCO

General Provider Information

NPI Number : 1295292308
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH DEMARCO NP
Provider Business Mailing Address
First Line : PO BOX 1099
Second Line :
City : BUENA VISTA
State : CO
Zip : 81211-1099
Country : US
Telephone Number : 917-817-8144
Fax Number :
Provider Business Practice Location Address
First Line : 2625 REDWING RD STE 155
Second Line :
City : FORT COLLINS
State : CO
Zip : 80526-6314
Country : US
Telephone Number : 970-707-5056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2019
Last Update Date : 03/11/2020

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