Provider Demographics
NPI:1114978632
Name:MUSOLF, ELISE L (MSN-FNP-C)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:L
Last Name:MUSOLF
Suffix:
Gender:F
Credentials:MSN-FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8540 SCARBOROUGH DR STE 370
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80920-7519
Mailing Address - Country:US
Mailing Address - Phone:719-358-8270
Mailing Address - Fax:719-358-8299
Practice Address - Street 1:8540 SCARBOROUGH DR STE 370
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920
Practice Address - Country:US
Practice Address - Phone:719-471-2225
Practice Address - Fax:719-358-8299
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-12
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4246111N00000X
COAPN.0994727-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No111N00000XChiropractic ProvidersChiropractor