Provider Demographics
NPI:1437318425
Name:BRANCH-ELLIMAN, WESTYN (MD)
Entity Type:Individual
Prefix:DR
First Name:WESTYN
Middle Name:
Last Name:BRANCH-ELLIMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 CLERMONT ST
Mailing Address - Street 2:MAILSTOP 111L
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80220-3808
Mailing Address - Country:US
Mailing Address - Phone:303-399-8020
Mailing Address - Fax:303-393-2898
Practice Address - Street 1:1055 CLERMONT ST
Practice Address - Street 2:MAILSTOP 111L
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3808
Practice Address - Country:US
Practice Address - Phone:303-399-8020
Practice Address - Fax:303-393-2898
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-04
Last Update Date:2014-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA244190207RI0200X
CO0053981207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease