Provider Demographics
NPI:1003452137
Name:MCGUIRE, ELISHA ELIZABETH (CPNP-AC)
Entity Type:Individual
Prefix:MRS
First Name:ELISHA
Middle Name:ELIZABETH
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:CPNP-AC
Other - Prefix:MISS
Other - First Name:ELISHA
Other - Middle Name:ELIZABETH
Other - Last Name:ROE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2055 N HIGH ST STE 270
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-5503
Mailing Address - Country:US
Mailing Address - Phone:303-301-9010
Mailing Address - Fax:
Practice Address - Street 1:2055 N HIGH ST STE 270
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5503
Practice Address - Country:US
Practice Address - Phone:303-301-9010
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-25
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0995214363LP0200X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics