Provider Demographics
NPI:1750623419
Name:OBUCKLEY, ELINOR JOYCE (RN)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:JOYCE
Last Name:OBUCKLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1550 LARIMER ST
Mailing Address - Street 2:SUITE 244
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1602
Mailing Address - Country:US
Mailing Address - Phone:303-723-5915
Mailing Address - Fax:303-797-9348
Practice Address - Street 1:5500 S SYCAMORE ST
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8201
Practice Address - Country:US
Practice Address - Phone:303-797-9440
Practice Address - Fax:303-797-9348
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2013-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1619580163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health