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NPI Code Detail

MEDICARE: MS. NATASHA ELLIOTT

MEDICARE: MS. NATASHA ELLIOTT
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker9923194CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1LCSW9923194OTHERCODORA

General Provider Information

NPI Number : 1396122644
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NATASHA ELLIOTT
Provider Business Mailing Address
First Line : 19760 E 39TH AVE
Second Line :
City : DENVER
State : CO
Zip : 80249-7351
Country : US
Telephone Number : 520-609-2674
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 520-609-2674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2015
Last Update Date : 12/13/2022

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Directions to “ MS. NATASHA ELLIOTT ” Practice Location

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