Provider Demographics
NPI:1942552138
Name:ELIZABETH, PATIENCE (MA)
Entity Type:Individual
Prefix:MRS
First Name:PATIENCE
Middle Name:
Last Name:ELIZABETH
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5430 BEACH CT
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80221-1626
Mailing Address - Country:US
Mailing Address - Phone:720-839-6555
Mailing Address - Fax:
Practice Address - Street 1:6072 NEWCOMBE CT
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-4618
Practice Address - Country:US
Practice Address - Phone:720-839-6555
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-11
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No374J00000XNursing Service Related ProvidersDoula