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NPI Code Detail

MEDICARE: ELIZABETH JANE LITTLE FNP

MEDICARE: ELIZABETH JANE LITTLE FNP
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
1207Q00000XFamily Medicine PhysicianAPN.09933319-NPCO

General Provider Information

NPI Number : 1952827974
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH JANE LITTLE FNP
Provider Business Mailing Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1230 14TH ST SW
Second Line :
City : LOVELAND
State : CO
Zip : 80537-6324
Country : US
Telephone Number : 970-820-3999
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2017
Last Update Date : 08/22/2017

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Directions to “ ELIZABETH JANE LITTLE FNP” Practice Location

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