Provider Demographics
NPI:1417502014
Name:CHRZASTEK, ELISE NICOLE (FNP-BC)
Entity Type:Individual
Prefix:
First Name:ELISE
Middle Name:NICOLE
Last Name:CHRZASTEK
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:ELISE
Other - Middle Name:NICOLE
Other - Last Name:VACHINO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3200 S HOLLY PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-7626
Mailing Address - Country:US
Mailing Address - Phone:717-304-7011
Mailing Address - Fax:
Practice Address - Street 1:8200 E BELLEVIEW AVE STE 202C
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2805
Practice Address - Country:US
Practice Address - Phone:303-357-2551
Practice Address - Fax:303-221-2445
Is Sole Proprietor?:No
Enumeration Date:2019-08-09
Last Update Date:2019-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0994787-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily