Provider Demographics
NPI:1417794892
Name:BEAN, ELIZABETH (CD)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BEAN
Suffix:
Gender:F
Credentials:CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6955 E 118TH PL
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80233-5868
Mailing Address - Country:US
Mailing Address - Phone:720-382-8819
Mailing Address - Fax:
Practice Address - Street 1:6955 E 118TH PL
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80233-5868
Practice Address - Country:US
Practice Address - Phone:720-382-8819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula