Provider Demographics
NPI:1326414178
Name:COWAN, ELIZABETH ANNE ROBERTS (NP)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE ROBERTS
Last Name:COWAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:ROBERTS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2995 BASELINE RD STE 210
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80303-2318
Mailing Address - Country:US
Mailing Address - Phone:303-415-8900
Mailing Address - Fax:303-415-8919
Practice Address - Street 1:2995 BASELINE RD STE 210
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80303-2318
Practice Address - Country:US
Practice Address - Phone:303-415-8900
Practice Address - Fax:303-415-8919
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2019-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.0198802163W00000X
COAPN.0991908-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse