Patrick, Liza Dylan

Patrick, Liza Dylan is an individual health care provider with primary practice located at 3303 N. Broadway St. , Boulder CO 80304-2241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Patrick, Liza Dylan can be contacted via phone (303) 449-6050.

Contact Information

Primary practice address
3303 N. Broadway St. Boulder CO 80304-2241
Phone: (303) 449-6050
Fax: (303) 604-6243
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 123793 Colorado

Profile Details

NPI number 1790818615
LBN Legal business name Patrick, Liza Dylan
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 9th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790818615 NPPES
Colorado MEDICAID 49424882

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