Provider Demographics
NPI:1942531348
Name:ROHLICH, ELIZABETH MARIE (APN)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:MARIE
Last Name:ROHLICH
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
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Mailing Address - Street 1:802 W DRAKE RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-5567
Mailing Address - Country:US
Mailing Address - Phone:512-391-1751
Mailing Address - Fax:512-391-1906
Practice Address - Street 1:1313 RED RIVER ST
Practice Address - Street 2:STE 200
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78701-1943
Practice Address - Country:US
Practice Address - Phone:512-391-1751
Practice Address - Fax:512-391-1906
Is Sole Proprietor?:No
Enumeration Date:2010-01-25
Last Update Date:2017-08-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX747396364SA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SA2200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistAdult Health