Provider Demographics
NPI:1124826326
Name:PUNKE, ELIZABETH
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:PUNKE
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF WYOMING - WYOMING CENTER ON AGING
Mailing Address - Street 2:1000 E. UNIVERSITY AVE.
Mailing Address - City:LARAMIE
Mailing Address - State:WY
Mailing Address - Zip Code:82071
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF WYOMING - WYOMING CENTER ON AGING
Practice Address - Street 2:1000 E. UNIVERSITY AVE.
Practice Address - City:LARAMIE
Practice Address - State:WY
Practice Address - Zip Code:82071
Practice Address - Country:US
Practice Address - Phone:307-766-2829
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program