Provider Demographics
NPI:1750623419
Name:OBUCKLEY, ELINOR JOYCE (MSN, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:ELINOR
Middle Name:JOYCE
Last Name:OBUCKLEY
Suffix:
Gender:F
Credentials:MSN, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15928 ST PAUL ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80602-7814
Mailing Address - Country:US
Mailing Address - Phone:607-242-3305
Mailing Address - Fax:
Practice Address - Street 1:8758 WOLFF CT STE 205
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-6904
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:2025-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1619580163WP0808X
CO1000387363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health