Provider Demographics
NPI:1205056991
Name:DEYOUNG, ELIZABETH A (NP, ND)
Entity type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:A
Last Name:DEYOUNG
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Gender:F
Credentials:NP, ND
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Mailing Address - Street 1:4891 INDEPENDENCE STREET
Mailing Address - Street 2:SUITE 120
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80241-8713
Mailing Address - Country:US
Mailing Address - Phone:303-456-5495
Mailing Address - Fax:303-456-7490
Practice Address - Street 1:2655 CRESCENT DRIVE
Practice Address - Street 2:SUITE D
Practice Address - City:LAFAYETTE
Practice Address - State:CO
Practice Address - Zip Code:80026
Practice Address - Country:US
Practice Address - Phone:303-443-4200
Practice Address - Fax:303-443-5470
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2013-04-23
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Provider Licenses
StateLicense IDTaxonomies
CO164862363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner