Provider Demographics
NPI:1811314016
Name:CAVELLI, ELISABETH NORA (ND, RN, CNS)
Entity type:Individual
Prefix:MISS
First Name:ELISABETH
Middle Name:NORA
Last Name:CAVELLI
Suffix:
Gender:F
Credentials:ND, RN, CNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2570 S HUMBOLDT ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-5117
Mailing Address - Country:US
Mailing Address - Phone:303-744-8914
Mailing Address - Fax:
Practice Address - Street 1:5500 S SYRACUSE ST
Practice Address - Street 2:ADMHN MEDICATION SERVICES
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120
Practice Address - Country:US
Practice Address - Phone:303-723-4825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-25
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO112779163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult