Provider Demographics
NPI:1265953285
Name:LOCRICCHIO, ELIZABETH J (FNP-C)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:J
Last Name:LOCRICCHIO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:5450 WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-2709
Mailing Address - Country:US
Mailing Address - Phone:303-415-5816
Mailing Address - Fax:303-293-0625
Practice Address - Street 1:101 ERIE PKWY, STE 201C
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:CO
Practice Address - Zip Code:80516-4072
Practice Address - Country:US
Practice Address - Phone:303-415-5816
Practice Address - Fax:303-293-0625
Is Sole Proprietor?:No
Enumeration Date:2017-06-29
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0993277-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily